|
Section 403.200
|
State regulation of insurance policies |
|
Section 403.201
|
Medicare supplemental policy |
|
Section 403.205
|
General standards for Medicare supplemental policies |
|
Section 403.206
|
NAIC model standards |
|
Section 403.210
|
Loss ratio standards |
|
Section 403.215
|
Supplemental Health Insurance Panel |
|
Section 403.220
|
State with an approved regulatory program |
|
Section 403.222
|
Emblem |
|
Section 403.231
|
Requirements and procedures for obtaining certification |
|
Section 403.232
|
Review and certification of policies |
|
Section 403.235
|
Submittal of material to retain certification |
|
Section 403.239
|
Loss of certification |
|
Section 403.245
|
Administrative review of CMS determinations |
|
Section 403.248
|
Loss ratio calculations: General provisions |
|
Section 403.250
|
Loss ratio date and time frame provisions |
|
Section 403.251
|
Calculation of benefits |
|
Section 403.253
|
Calculation of premiums |
|
Section 403.254
|
Loss ratio supporting data |
|
Section 403.256
|
Statement of actuarial opinion |
|
Section 403.258
|
Basis and purpose |
|
Section 403.300
|
Definitions |
|
Section 403.302
|
Minimum requirements for State systems--discretionary approval |
|
Section 403.304
|
Additional requirements for State systems--mandatory approval |
|
Section 403.306
|
State systems under demonstration projects-- mandatory approval |
|
Section 403.308
|
Reduction in payments |
|
Section 403.310
|
Submittal of application |
|
Section 403.312
|
Evaluation of State systems |
|
Section 403.314
|
Reconsideration of certain denied applications |
|
Section 403.316
|
Approval of State systems |
|
Section 403.318
|
CMS review and monitoring of State systems |
|
Section 403.320
|
State systems for hospital outpatient services |
|
Section 403.321
|
Termination of agreements for Medicare recognition of State systems |
|
Section 403.322
|
Basis, scope, and definition |
|
Section 403.500
|
Eligibility for grants |
|
Section 403.501
|
Availability of grants |
|
Section 403.502
|
Number and size of grants |
|
Section 403.504
|
Limitations |
|
Section 403.508
|
Reporting requirements |
|
Section 403.510
|
Administration |
|
Section 403.512
|
Basis and purpose |
|
Section 403.700
|
Definitions and terms |
|
Section 403.702
|
Conditions for coverage |
|
Section 403.720
|
Valid election requirements |
|
Section 403.724
|
Condition of participation: Patient rights |
|
Section 403.730
|
Condition of participation: Quality assessment and performance improvement |
|
Section 403.732
|
Condition of participation: Food services |
|
Section 403.734
|
Condition of participation: Discharge planning |
|
Section 403.736
|
Condition of participation: Administration |
|
Section 403.738
|
Condition of participation: Staffing |
|
Section 403.740
|
Condition of participation: Physical environment |
|
Section 403.742
|
Condition of participation: Life safety from fire |
|
Section 403.744
|
Condition of participation: Utilization review |
|
Section 403.746
|
Estimate of expenditures and adjustments |
|
Section 403.750
|
Payment provisions |
|
Section 403.752
|
Monitoring expenditure level |
|
Section 403.754
|
Sunset provision |
|
Section 403.756
|
Basis and purpose of religious nonmedical health care institutions providing home service |
|
Section 403.764
|
Requirements for coverage and payment of RNHCI home services |
|
Section 403.766
|
Excluded services |
|
Section 403.768
|
Payments for home services |
|
Section 403.770
|
Basis and scope |
|
Section 403.800
|
Definitions |
|
Section 403.802
|
General rules for solicitation, application and Medicare endorsement period |
|
Section 403.804
|
Sponsor requirements for eligibility for endorsement |
|
Section 403.806
|
Use of transitional assistance funds |
|
Section 403.808
|
Eligibility and reconsiderations |
|
Section 403.810
|
Enrollment and disenrollment and associated endorsed sponsor requirements |
|
Section 403.811
|
HIPAA privacy, security, administrative data standards, and national identifiers |
|
Section 403.812
|
Marketing limitations and record retention requirements |
|
Section 403.813
|
Special rules concerning Part C organizations and Medicare cost plans and their enrollees |
|
Section 403.814
|
Special rules concerning States |
|
Section 403.815
|
Special rules concerning long-term care and I/T/U pharmacies |
|
Section 403.816
|
Special rules concerning the territories |
|
Section 403.817
|
Sanctions, penalties, and termination |
|
Section 403.820
|
Reimbursement of transitional assistance and associated sponsor requirements |
|
Section 403.822
|
Purpose and scope |
|
Section 403.900
|
Definitions |
|
Section 403.902
|
Reports of payments or other transfers of value to covered recipients |
|
Section 403.904
|
Reports of physician ownership and investment interests |
|
Section 403.906
|
Procedures for electronic submission of reports |
|
Section 403.908
|
Delayed publication for payments made under product research or development agreements and clinical investigations |
|
Section 403.910
|
Penalties for failure to report |
|
Section 403.912
|
Preemption of State laws |
|
Section 403.914
|
Purpose and scope |
|
Section 403.1100
|
Definitions |
|
Section 403.1105
|
Evaluation of models |
|
Section 403.1110
|
Scope of subpart and definitions |