[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: 42CFR422.210]



[Page 1016-1017]

 

                         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. 422.210  Assurances to CMS.



    (a) Assurances to CMS. Each organization will provide assurance 

satisfactory to the Secretary that the requirements of Sec. 422.208 are 

met.

    (b) Disclosure to Medicare Beneficiaries. Each MA organization must 

provide the following information to



[[Page 1017]]



any Medicare beneficiary who requests it:

    (1) Whether the MA 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.



[70 FR 52026, Sept. 1, 2005]