Medicare Program; Contracts With Health Maintenance Organizations (HMOs) and Competitive Medical Plans (CMPs)
medicare · Centers for Medicare and Medicaid Services · Rule · Published 1995-09-01 · 60 FR 45673
Document
Document number
95-21626
Federal Register citation
60 FR 45673
CFR reference
42 CFR 417
Type
Rule
Action
Final rule with comment period.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
1995-09-01
HHS docket
OMC-011-FC
Abstract
This rule clarifies and updates portions of the HCFA regulations that pertain to the following: <bullet> The conditions that an HMO or CMP must meet to qualify for a Medicare contract (Subpart J). <bullet> The contract requirements (Subpart L). <bullet> The rules for enrollment, entitlement, and disenrollment of Medicare beneficiaries in a contracting HMO or CMP (Subpart K). <bullet> How a Medicare contract is affected when there is change of ownership or leasing of facilities of a contracting HMO or CMP (Subpart M). These are technical and editorial changes that do not affect the substance of the regulations. They are intended to make it easier to find particular provisions, to provide overviews of the different program aspects, and to better ensure uniform understanding of the rules.