Medicare and Medicaid Programs; Requirements for Physician Incentive Plans in Prepaid Health Care Organizations
medicare · Centers for Medicare and Medicaid Services · Rule · Published 1996-12-31 · Effective 1997-01-01 · 61 FR 69034
Document
Document number
96-33330
Federal Register citation
61 FR 69034
CFR reference
42 CFR 417
Type
Rule
Action
Final rule.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
1996-12-31
Effective date
1997-01-01
HHS docket
OMC-010-F
Abstract
This final rule amends the regulations established by a March 27, 1996, final rule with comment period. The regulations govern physician incentive plans operated by Federally-qualified health maintenance organizations and competitive medical plans contracting with the Medicare program, and certain health maintenance organizations and health insuring organizations contracting with the Medicaid program. As explained in the March 27 rule, the provisions of this final rule will also have an effect on certain entities subject to the physician referral rules in section 1877 of the Social Security Act.