42 CFR Subpart K
Enrollment, Entitlement, and Disenrollment under Medicare Contract
June 11, 2020
§
417.420
Basic rules on enrollment and entitlement
§
417.422
Eligibility to enroll in an HMO or CMP
§
417.423
Special rules: ESRD and hospice patients
§
417.424
Denial of enrollment
§
417.426
Open enrollment requirements
§
417.427
Extending MA and Part D program disclosure requirements to section 1876 cost contract plans
§
417.428
Marketing activities
§
417.430
Application procedures
§
417.450
Effective date of coverage
§
417.432
Conversion of enrollment
§
417.434
Reenrollment
§
417.436
Rules for enrollees
§
417.440
Entitlement to health care services from an HMO or CMP
§
417.442
Risk HMO's and CMP's: Conditions for provision of additional benefits
§
417.444
Special rules for certain enrollees of risk HMOs and CMPs
§
417.446
[Reserved]
§
417.448
Restriction on payments for services received by Medicare enrollees of risk HMOs or CMPs
§
417.452
Liability of Medicare enrollees
§
417.454
Charges to Medicare enrollees
§
417.456
Refunds to Medicare enrollees
§
417.458
Recoupment of uncollected deductible and coinsurance amounts
§
417.460
Disenrollment of beneficiaries by an HMO or CMP
§
417.461
Disenrollment by the enrollee
§
417.464
End of CMS's liability for payment: Disenrollment of beneficiaries and termination or default of contract