Statute Compilations

PROHIBITION AGAINST ANY FEDERAL INTERFERENCE

free choice by patient guaranteed

option to individuals to obtain other health insurance protection

notice of medicare benefits; medicare and medigap information

medicare payment advisory commission

explanation of medicare benefits

chronic care improvement

provisions relating to administration

addressing health care disparities

DESCRIPTION OF PROGRAM

SCOPE OF BENEFITS

DEDUCTIBLES AND COINSURANCE

CONDITIONS OF AND LIMITATIONS ON PAYMENT FOR SERVICES

PAYMENT TO PROVIDERS OF SERVICES

provisions relating to the administration of part a

FEDERAL HOSPITAL INSURANCE TRUST FUND

HOSPITAL INSURANCE BENEFITS FOR DISABLED INDIVIDUALS WHO HAVE EXHAUSTED OTHER ENTITLEMENT

HOSPITAL INSURANCE BENEFITS FOR UNINSURED ELDERLY INDIVIDUALS NOT OTHERWISE ELIGIBLE

requirements for, and assuring quality of care in, skilled nursing facilities

medicare rural hospital flexibility program

conditions for coverage of religious nonmedical health care institutional services

HOSPICE PROGRAM SURVEY AND ENFORCEMENT PROCEDURES

ESTABLISHMENT OF SUPPLEMENTARY MEDICAL INSURANCE PROGRAM FOR THE AGED AND THE DISABLED

SCOPE OF BENEFITS

PAYMENT OF BENEFITS

SPECIAL PAYMENT RULES FOR PARTICULAR ITEMS AND SERVICES

IMPROVING POLICIES FOR CLINICAL DIAGNOSTIC LABORATORY TESTS

PROCEDURE FOR PAYMENT OF CLAIMS OF PROVIDERS OF SERVICES

ELIGIBLE INDIVIDUALS

ENROLLMENT PERIODS

COVERAGE PERIOD

amounts of premiums

PAYMENT OF PREMIUMS

FEDERAL SUPPLEMENTARY MEDICAL INSURANCE TRUST FUND

provisions relating to the administration of part b

state agreements for coverage of eligible individuals who are receiving money payments under public assistance programs (or are eligible for medical assistance)

appropriations to cover government contributions and contingency reserve

Repealed.

INTERMEDIATE SANCTIONS FOR PROVIDERS OR SUPPLIERS OF CLINICAL DIAGNOSTIC LABORATORY TESTS

use of average sales price payment methodology

competitive acquisition of outpatient drugs and biologicals

competitive acquisition of certain items and services

PAYMENT FOR PHYSICIANS' SERVICES

eligibility, election, and enrollment

benefits and beneficiary protections

payments to medicare+choice organizations

premiums and bid amounts

organizational and financial requirements for medicare+choice organizations; provider-sponsored organizations

establishment of standards

contracts with medicare+choice organizations

special rules for ma regional plans

definitions; miscellaneous provisions

–1 eligibility, enrollment, and information

definitions of services, institutions, etc

exclusions from coverage and medicare as secondary payer

consultation with state agencies and other organizations to develop conditions of participation for providers of services

use of state agencies to determine compliance by providers of services with conditions of participation

effect of accreditation

independence at home medical practice demonstration program

OPIOID USE DISORDER TREATMENT DEMONSTRATION PROGRAM

EXTENSION OF ACUTE HOSPITAL CARE AT HOME INITIATIVE

provisions for administration of demonstration program

national pilot program on payment bundling

demonstration of application of physician volume increases to group practices

agreements with providers of services; enrollment processes

health care quality demonstration program

examination and treatment for emergency medical conditions and women in labor

practicing physicians advisory council; council for technology and innovation

determinations; appeals

overpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individuals

REGULATIONS

application of certain provisions of title ii

designation of organization or publication by name

administration

contracts with medicare administrative contractors

STUDIES AND RECOMMENDATIONS

payments to health maintenance organizations and competitive medical plans

LIMITATION ON CERTAIN PHYSICIAN REFERRALS

provider reimbursement review board

limitation on liability of beneficiary where medicare claims are disallowed

indian health service facilities

MEDICARE COVERAGE FOR INDIVIDUALS EXPOSED TO ENVIRONMENTAL HEALTH HAZARDS

medicare coverage for end stage renal disease patients

certification of medicare supplemental health insurance policies

HOSPITAL PROVIDERS OF EXTENDED CARE SERVICES

payments to promote closing and conversion of underutilized hospital facilities

withholding of payments for certain medicaid providers

payment to hospitals for inpatient hospital services

payment of provider-based physicians and payment under certain percentage arrangements

payment to skilled nursing facilities for routine service costs

provider education and technical assistance

quality measurement

contract with a consensus-based entity regarding performance measurement

conditions of participation for home health agencies; home health quality

offset of payments to individuals to collect past-due obligations arising from breach of scholarship and loan contract

medicare integrity program

payments to, and coverage of benefits under, programs of all-inclusive care for the elderly (pace)

prospective payment for home health services

health care infrastructure improvement program

shared savings program

LIMITING MEDICARE COVERAGE OF CERTAIN INDIVIDUALS

STANDARDIZED POST-ACUTE CARE (PAC) ASSESSMENT DATA FOR QUALITY, PAYMENT, AND DISCHARGE PLANNING

MEDICARE SUBVENTION DEMONSTRATION PROJECT107 FOR MILITARY RETIREES

medicare improvement fund