[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: 42CFR422.212]



[Page 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. 422.212  Limitations on provider indemnification.



    An MA organization may not contract or otherwise provide, directly 

or indirectly, for any of the following individuals, organizations, or 

entities to indemnify the organization against any civil liability for 

damage caused to an enrollee as a result of the MA organization's denial 

of medically necessary care:

    (a) A physician or health care professional.

    (b) Provider of services.

    (c) Other entity providing health care services.

    (d) Group of such professionals, providers, or entities.