Documents

Medicare and Medicaid Programs, Clinical Laboratory Improvement Amendments (CLIA), and Patient Protection and Affordable Care Act; Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency

Federal Register · Rule · Sep 2, 2020

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 410, 413, 414, 422, 423, 482, 483, 485, 488 and 493 [CMS-3401-IFC] RIN 0938-AU33 Medicare and Medicaid … PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT 9.

Agency Information Collection Activities: Proposed Collection; Comment Request

Federal Register · Notice · Oct 21, 2020

or emergency, waivers and flexibilities assist health care providers/suppliers in providing timely healthcare and services to people who have been affected and enables states, Federal districts, and U.S … The application requirements are codified in Subpart K of 42 CFR 423 entitled “Application Procedures and Contracts with PDP Sponsors.”

Medicare & Medicaid Programs; Influenza Vaccination Standard for Certain Participating Providers and Suppliers

Federal Register · Proposed Rule · May 4, 2011

These recommendations applied to about 85 percent of the U.S. population. … For example, in the fall of 2004 there was a major shortage of inactivated influenza vaccine in the U.S.

Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-January Through March 2006

Federal Register · Notice · Jun 23, 2006

Communications. 862 Appeals of Claims Decisions: Administrative Law Judge; Departmental Appeals Board; U.S. District Court Review.   … U.S. District Court Review—The Fifth Level of Appeal.   Requests for U.S District Court Review by a Party.   Effectuation of U.S District Court Decisions.  

Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organization and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans in the Federally-Facilitated Exchanges and Health Care Providers

Federal Register · Proposed Rule · Mar 4, 2019

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 406, 407, 422, 423, 431, 438, 457, 482, and 485 Office of the Secretary 45 CFR Part 156 [CMS-9115 … PART 482—CONDITIONS OF PARTICIPATION: HOSPITALS 19.

Medicare Program; Proposed Standards for E-Prescribing Under Medicare Part D

Federal Register · Proposed Rule · Nov 16, 2007

Walsh , 538 U.S. 644, 661, 123 S.Ct. 1855, 1867, 155 L.Ed.2d 889 (2003). … For the reasons set forth in the preamble in this proposed regulation, the Centers for Medicare & Medicaid Services proposes to amend 42 CFR part 423 as follows: PART 423—VOLUNTARY MEDICARE PRESCRIPTION

Medicare Program; Fee Schedule for Payment of Ambulance Services and Revisions to the Physician Certification Requirements for Coverage of Nonemergency Ambulance Services

Federal Register · Rule · Feb 27, 2002

Acceptable documentation includes a signed return receipt from the U.S. … Acceptable documentation includes a signed return receipt from the U.S.

Medicare Program; Medical Loss Ratio Requirements for the Medicare Advantage and the Medicare Prescription Drug Benefit Programs

Federal Register · Proposed Rule · Feb 22, 2013

Estimates reflect 2011 wage data from the U.S. Department of Labor, Bureau of Labor Statistics. d. … PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT 5. The authority for part 423 continues to read as follows: Authority: Secs.

Medicare Program; Policy and Technical Changes to the Medicare Prescription Drug Benefit

Federal Register · Rule · Apr 15, 2008

This Federal Register document is also available from the Federal Register online database through GPO Access, a service of the U.S. Government Printing Office. … Given the nature of immunization in the U.S. market and the nature of Part D coverage of vaccines, only two small business areas—retail pharmacy and physicians in private practice—merit analysis.

Medicare Program; Medical Loss Ratio Requirements for the Medicare Advantage and the Medicare Prescription Drug Benefit Programs

Federal Register · Rule · May 23, 2013

Estimates reflect 2011 wage data from the U.S. Department of Labor, Bureau of Labor Statistics. c. … PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT 5. The authority for part 423 continues to read as follows: Authority: Secs.

Medicare and Medicaid Programs; Patient Notification of Right To Access State Survey Agencies and Medicare Beneficiary Notification of the Right To Access Quality Improvement Organizations

Federal Register · Proposed Rule · Feb 2, 2011

CMS contracts with 53 QIOs (one in each State, Puerto Rico, the District of Columbia, and the U.S. Virgin Islands) for a term of 3 years. … PART 482—CONDITIONS OF PARTICIPATION FOR HOSPITALS 5.

Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs for Contract Year 2013 and Other Changes

Federal Register · Rule · Apr 12, 2012

Wolverine World Wide, Inc., 535 U.S. 81 (2002). … California, 543 U.S. 499 (2005) and Arizona v. Maricopa County Medical Society, 457 U.S. 332 (1982).

Medicare Program; Policy and Technical Changes to the Medicare Prescription Drug Benefit

Federal Register · Proposed Rule · May 25, 2007

Given the nature of immunization in the U.S. market and its relation to the Part D benefit, we believe only two small business areas merit discussion, retail pharmacy and physicians in private practice … The approval of inhaled insulin onto the U.S. market has been anticipated for years and should have been considered into the Part D Sponsor's bid.

Medicare Program; Medicare Prescription Drug Benefit

Federal Register · Proposed Rule · Aug 3, 2004

Organizational Overview of Part 423 The regulations set forth in this proposed rule will be codified in the new 42 CFR part 423—Prescription Drug Benefit Program. … The definitions set forth in subpart A apply to all of part 423 unless otherwise indicated, and are applicable only for the purposes of part 423.

Medicare and Medicaid Programs; Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency

Federal Register · Rule · Apr 6, 2020

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 400, 405, 409, 410, 412, 414, 415, 417, 418, 421, 422, 423, 425, 440, 482, and 510 [CMS-1744-IFC] RIN … PART 482—CONDITIONS OF PARTICIPATION FOR HOSPITALS 47.

Medicare and Medicaid Programs; Hospital Conditions of Participation: Requirements for History and Physical Examinations; Authentication of Verbal Orders; Securing Medications; and Postanesthesia Evaluations

Federal Register · Rule · Nov 27, 2006

This Federal Register document is also available from the Federal Register online database through GPO access, a service of the U.S. Government Printing Office. … For the reasons set forth in the preamble, the Centers for Medicare & Medicaid Services amends 42 CFR chapter IV, part 482 as set forth below: PART 482—CONDITIONS OF PARTICIPATION FOR HOSPITALS

Medicare Program; Clarifying Policies Related to the Responsibilities of Medicare-Participating Hospitals in Treating Individuals With Emergency Medical Conditions

Federal Register · Rule · Sep 9, 2003

Galen of Virginia , 525 U.S. 249 (1999)) that involved, in part, the question of whether EMTALA applies to inpatients in a hospital. … PART 482—CONDITIONS FOR PARTICIPTION FOR HOSPITALS B. Part 482 is amended as follows: 1.

Medicare Program; Contract Year 2027 and Certain Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, and Medicare Cost Plan Program

Federal Register · Rule · Apr 6, 2026

Servier appealed the district court's decision, which appeal is pending in the U.S. Court of Appeals for the D.C. Circuit. … This aligns with the U.S.

Medicare Program; Medicare Part D Claims Data

Federal Register · Rule · May 28, 2008

This Federal Register document is also available from the Federal Register online database through GPO Access, a service of the U.S. Government Printing Office. … List of Subjects in 42 CFR Part 423 Administrative practice and procedure, Medicare, Prescription Drugs, Reporting and recordkeeping.

Medicare Program; Hospital Conditions of Participation: Requirements for Approval and Re-Approval of Transplant Centers To Perform Organ Transplants

Federal Register · Proposed Rule · Feb 4, 2005

In 2003, there were 13,278 organ donors in the U.S.; 6,821 were living donors and 6,457 were deceased donors. … PART 482—CONDITIONS OF PARTICIPATION FOR HOSPITALS 1.