[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR422.200]



[Page 1011-1012]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 422_MEDICARE ADVANTAGE PROGRAM--Table of Contents

 

                 Subpart E_Relationships With Providers

 

Sec. 422.200  Basis and scope.



    Source: 63 FR 35085, June 26, 1998, unless otherwise noted.





    This subpart is based on sections 1852(a)(1), (a)(2), (b)(2), 

(c)(2)(D), (j), and (k) of the Act; section 1859(b)(2)(A) of the Act; 

and the general authority under 1856(b) of the Act requiring the 

establishment of standards. It sets forth the requirements and standards 

for the MA organization's relationships with providers including 

physicians, other health care professionals, institutional providers and 

suppliers, under contracts or arrangements or deemed contracts under MA 

private fee-for-



[[Page 1012]]



service plans. This subpart also contains some requirements that apply 

to noncontracting providers.