Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 417  /  Sec. 417.478 Requirements of other laws and regulations.

The contract must provide that the HMO or CMP agrees to comply with--

(a) The requirements for QIO review of services furnished to Medicare enrollees as set forth in subchapter D of this chapter;

(b) Sections 1318(a) and (c) of the PHS Act, which pertain to disclosure of certain financial information;

(c) Section 1301(c)(8) of the PHS Act, which relates to liability arrangements to protect enrollees of the HMO or CMP; and

(d) The reporting requirements in Sec. 417.126(a), which pertain to the monitoring of an HMO's or CMP's continued compliance. [50 FR 1346, Jan. 10, 1985; 50 FR 20570, May 17, 1985, as amended at 56 FR 8853, Mar. 1, 1991; 58 FR 38079, 38082, July 15, 1993]