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U.S. Code Regulations Constitution Journal Apps
  1. Regulations
    All Titles
  2. title 42
    Public Health
  3. chapter IV-i1
    CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
  4. part 417
    PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS
  5. subpart P
    Subpart P—Medicare Payment: Risk Basis

Subpart P. Subpart P—Medicare Payment: Risk Basis

  • § 417.580 - Basis and scope.
  • § 417.582 - Definitions.
  • § 417.584 - Payment to HMOs or CMPs with risk contracts.
  • § 417.585 - Special rules: Hospice care.
  • § 417.588 - Computation of adjusted average per capita cost (AAPCC).
  • § 417.590 - Computation of the average of the per capita rates of payment.
  • § 417.592 - Additional benefits requirement.
  • § 417.594 - Computation of adjusted community rate (ACR).
  • § 417.596 - Establishment of a benefit stabilization fund.
  • § 417.597 - Withdrawal from a benefit stabilization fund.
  • § 417.598 - Annual enrollment reconciliation.
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