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  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 422
    PART 422—MEDICARE ADVANTAGE PROGRAM
  5. subpart G
    Subpart G—Payments to Medicare Advantage Organizations

Subpart G. Subpart G—Payments to Medicare Advantage Organizations

  • § 422.300 - Basis and scope.
  • § 422.304 - Monthly payments.
  • § 422.306 - Annual MA capitation rates.
  • § 422.308 - Adjustments to capitation rates, benchmarks, bids, and payments.
  • § 422.310 - Risk adjustment data.
  • § 422.311 - RADV audit dispute and appeal processes.
  • § 422.312 - Announcement of annual capitation rate, benchmarks, and methodology changes.
  • § 422.314 - Special rules for beneficiaries enrolled in MA MSA plans.
  • § 422.316 - Special rules for payments to Federally qualified health centers.
  • § 422.318 - Special rules for coverage that begins or ends during an inpatient hospital stay.
  • § 422.320 - Special rules for hospice care.
  • § 422.322 - Source of payment and effect of MA plan election on payment.
  • § 422.324 - Payments to MA organizations for graduate medical education costs.
  • § 422.326 - Reporting and returning of overpayments.
  • § 422.330 - CMS-identified overpayments associated with payment data submitted by MA organizations.
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