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FEDERAL · 42 CFR

Part 421 — Medicare Contracting

33 sections · Title 42: Public Health

§ 421.1Basis, applicability, and scope.
§ 421.3Definitions.
§ 421.5General provisions.
§ 421.100Intermediary functions.
§ 421.103Payment to providers.
§ 421.104Assignment of providers of services to intermediaries during transition to Medicare Administrative Contractors (MACs).
§ 421.110Requirements for approval of an agreement.
§ 421.112Considerations relating to the effective and efficient administration of the program.
§ 421.114Assignment and reassignment of providers by CMS.
§ 421.120Performance criteria.
§ 421.122Performance standards.
§ 421.124Intermediary's failure to perform efficiently and effectively.
§ 421.126Termination of agreements.
§ 421.128Intermediary's opportunity for hearing and right to judicial review.
§ 421.200Carrier functions.
§ 421.201Performance criteria and standards.
§ 421.202Requirements and conditions.
§ 421.203Carrier's failure to perform efficiently and effectively.
§ 421.205Termination by the Secretary.
§ 421.210Designations of regional carriers to process claims for durable medical equipment, prosthetics, orthotics and supplies.
§ 421.212Railroad Retirement Board contracts.
§ 421.214Advance payments to suppliers furnishing items or services under Part B.
§ 421.300Basis, applicability, and scope.
§ 421.302Eligibility requirements for Medicare integrity program contractors.
§ 421.304Medicare integrity program contractor functions.
§ 421.306Awarding of a contract.
§ 421.308Renewal of a contract.
§ 421.310Conflict of interest requirements.
§ 421.312Conflict of interest resolution.
§ 421.316Limitation on Medicare integrity program contractor liability.
§ 421.400Statutory basis and scope.
§ 421.401Definitions.
§ 421.404Assignment of providers and suppliers to MACs.