[Code of Federal Regulations] [Title 42, Volume 2] [Revised as of October 1, 2002] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR422.210] [Page 871] TITLE 42--PUBLIC HEALTH HUMAN SERVICES PART 422--MEDICARE+CHOICE PROGRAM--Table of Contents Subpart E--Relationships With Providers Sec. 422.210 Disclosure of physician incentive plans (a) Disclosure to CMS--(1) Basic requirement. Each M+C organization must provide to CMS descriptive information about its physician incentive plan in sufficient detail to enable CMS to determine whether that plan complies with the requirements of Sec. 422.208. Reporting should be on the CMS PIP Disclosure Form (OMB No. 0938-0700). (2) Content. The information must include at least the following: (i) Whether services not furnished by the physician or physician group are covered by the incentive plan. (ii) The type or types of incentive arrangements, such as, withholds, bonus, capitation. (iii) The percent of any withhold or bonus the plan uses. (iv) Assurance that the physicians or physician group has adequate stop-loss protection, and the amount and type of stop-loss protection. (v) The patient panel size and, if the plan uses pooling, the pooling method. (vi) If the M+C organization is required to conduct enrollee surveys, a summary of the survey results. (3) When disclosure must be made to CMS. An M+C organization must disclose annually to CMS the physician incentive arrangements that are effective at the start of each year. In addition, CMS does not approve an M+C organization's application for a contract unless the M+C organization discloses the physician incentive arrangements effective for that contract. (b) Disclosure to Medicare beneficiaries--Basic requirement. An M+C organization must provide the following information to any Medicare beneficiary who requests it: (1) Whether the M+C organization uses a physician incentive plan that affects the use of referral services. (2) The type of incentive arrangement. (3) Whether stop-loss protection is provided. (4) If the M+C organization was required to conduct a survey, a summary of the survey results.