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42 CFR 422.1 : Public Health (Part 1 To Parts 1009-1099) — (§ 414.1 To Parts 427-429) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Continued) (§ 414.1 To Parts 427-429) — Medicare Program (Continued) (§ 414.1 To Parts 427-429) — Medicare Advantage Program (§ 422.1 To § 422.2615) — General Provisions (§ 422.1 To § 422.6) — Basis and scope.

4 Aug 2016

(a) Basis. This part is based on the indicated provisions of the following:

(1) The following provisions of the Act:

(i) 1128J(d) - Reporting and Returning of Overpayments.

(ii) 1851 - Eligibility, election, and enrollment.

(iii) 1852 - Benefits and beneficiary protections.

(iv) 1853 - Payments to Medicare Advantage (MA) organizations.

(v) 1854 - Premiums.

(vi) 1855 - Organization, licensure, and solvency of MA organizations.

(vii) 1856 - Standards.

(viii) 1857 - Contract requirements.

(ix) 1858 - Special rules for MA Regional Plans.

(x) 1859 - Definitions; enrollment restriction for certain MA plans.

(2) 8 U.S.C. 1611 - Aliens who are not qualified aliens ineligible for Federal public benefits.

(b) Scope. This part establishes standards and sets forth the requirements, limitations, and procedures for Medicare services furnished, or paid for, by Medicare Advantage organizations through Medicare Advantage plans.

42 CFR 422.1
[63 FR 35068, June 26, 1998, as amended at 70 FR 4714, Jan. 28, 2005; 80 FR 7958, Feb. 12, 2015]