[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: 42CFR422.250]



[Page 1019]

 

                         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 F-Submission of Bids, Premiums, and Related Information and Plan 

                                Approval

 

Sec. 422.250  Basis and scope.



    Source: 70 FR 4725, Jan. 28, 2005, unless otherwise noted.





    This subpart is based largely on section 1854 of the Act, but also 

includes provisions from section 1853 and section 1858 of the Act. It 

sets forth the requirements for the Medicare Advantage bidding payment 

methodology, including CMS' calculation of benchmarks, submission of 

plan bids by Medicare Advantage (MA) organizations, establishment of 

beneficiary premiums and rebates through comparison of plan bids and 

benchmarks, and negotiation and approval of bids by CMS.