Documents

Regulatory Clean Up Initiative

Federal Register · Rule · Nov 16, 2020

PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT 68. The authority citation for part 423 continues to read as follows: Authority: 42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh. … PART 482—CONDITIONS OF PARTICIPATION FOR HOSPITALS 80.

Regulatory Clean Up Initiative; Correction

Federal Register · Rule · Dec 17, 2020

0991-AC19 Food and Drug Administration 21 CFR Parts 1, 5, 12, 14, 25, 81, 133, 172, 178, 184, 201, 310, 369, 501, and 582 Centers for Medicare & Medicaid Services 42 CFR Parts 411, 412, 422, 423 … , 426, 440, 441, 447, 482, and 485 Office of Inspector General 42 CFR Parts 1004 and 1008 Administration for Children and Families 45 CFR Parts 305, 307, 1324, 1325, 1326, and 1328 Regulatory

Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE); Correcting Amendment

Federal Register · Rule · Aug 6, 2024

On July 3, 2024, the U.S. District Court for the Northern District of Texas issued nationwide preliminary injunctions in Americans for Beneficiary Choice v. … PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT 7.

Medicare Program; Changes to the Medicare Claims and Medicare Prescription Drug Coverage Determination Appeals Procedures

Federal Register · Rule · May 7, 2019

These procedures are set forth in regulations at part 423, subparts M and U. … PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT 21.

Medicare Program: Changes to the Medicare Claims and Entitlement, Medicare Advantage Organization Determination, and Medicare Prescription Drug Coverage Determination Appeals Procedures

Federal Register · Rule · Jan 17, 2017

Current § 405.1016 does not address delays that result from stays ordered by U.S. Courts. … OMHA stands for the Office of Medicare Hearings and Appeals within the U.S.

Disqualification of a Clinical Investigator

Federal Register · Rule · Apr 30, 2012

Family Publications Service, Inc., 411 U.S. 356 (1973), and National Petroleum Refiners Association v. FTC, 482 F.2d 672 (DC Cir. 1973). See also Weinberger v. … Hynson, Westcott & Dunning, Inc., 412 U.S. 609 (1973); National Nutritional Foods Association v. Weinberger, 512 F.2d 688, cert denied, 423 U.S. 827 (1975); United States v.

Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Physician-Owned Hospitals: Data Sources for Expansion Exception; Physician Certification of Inpatient Hospital Services; Medicare Advantage Organizations and Part D Sponsors: CMS-Identified Overpayments Associated With Submitted Payment Data; Corrections

Federal Register · Rule · Feb 24, 2015

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 411, 412, 416, 419, 422, 423, and 424 [CMS-1613-CN] RIN 0938-AS15 Medicare and Medicaid Programs: … Lines 599 0.0 −0.3 2.0 2.2 1.9 REGION (URBAN): NEW ENGLAND 152 1.1 0.2 3.5 3.5 3.5 MIDDLE ATLANTIC 361 0.5 0.5 3.2 3.2 3.3 SOUTH ATLANTIC 482

Medicare Program; Revisions to the Medicare Advantage and Part D Prescription Drug Contract Determinations, Appeals, and Intermediate Sanctions Processes

Federal Register · Rule · Dec 5, 2007

U.S. No.98-3789 (GEB) (D.N.J. May 13, 1999)). … PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT 36.

Medicare and Medicaid Programs; Conditions of Participation: Immunization Standards for Hospitals, Long-Term Care Facilities, and Home Health Agencies

Federal Register · Rule · Oct 2, 2002

The proportion of elderly persons in the U.S. population is increasing, and age and its associated chronic diseases can increase the severity of influenza illness. … The 1999 RAND report states that the proportion of the U.S. population over age 65 has increased from 5 percent in 1900 to 13 percent in 1997.

Medicaid Program; Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services to Individuals Under Age 21

Federal Register · Rule · May 22, 2001

inpatient psychiatric services benefit for individuals under age 21 may be provided in a psychiatric hospital (that meets the applicable hospital conditions of participation set forth in 42 CFR part 482 … The total annual burden will be 423 hours per psychiatric residential treatment facility and 211,500 hours nationally, based on the assumption that virtually all of the residents will be minors as defined

Medicare Program; E-Prescribing and the Prescription Drug Program

Federal Register · Rule · Nov 7, 2005

Proposed Modification of the Title to Subpart D in 42 CFR Part 423 In the February 4, 2005 proposed rule, we proposed modifying the title of subpart D in 42 CFR Part 423 to read “Cost Control and Quality … For reasons set forth in the preamble in this final regulation, the Centers for Medicare & Medicaid Services amends 42 CFR part 423 as follows: PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT

Medicare and Medicaid Programs; Hospital Conditions of Participation: Laboratory Services

Federal Register · Rule · Aug 24, 2007

In 1996, the Tenth Report of the U.S. House of Representatives Committee on Government Reform and Oversight (H. Rpt. … For the reasons set forth in the preamble 42 CFR part 482 is amended as set forth below: PART 482—CONDITIONS OF PARTICIPATION FOR HOSPITALS 1.

Medicare and Medicaid Programs; Hospital Conditions of Participation: Anesthesia Services

Federal Register · Rule · Nov 13, 2001

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. … PART 482—CONDITIONS OF PARTICIPATION FOR HOSPITALS 1.

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; FY 2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) and Special Requirements for Psychiatric Hospitals for Fiscal Year Beginning October 1, 2020 (FY 2021); Correction

Federal Register · Rule · Aug 27, 2020

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 412 and 482 [CMS-1731-CN and CMS-1744-CN] RIN-0938-AU07 and 0938-AU31 Medicare Program; FY 2021 Inpatient … 12866 and CRA determinations are functions of the Office of Management and Budget, not the Department of Health and Human Services, and are not rules as defined by the Administrative Procedure Act (5 U.S

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.

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.

Privacy Act; Implementation

Federal Register · Rule · Apr 3, 2018

The NIH is responsible to Congress and the U.S. taxpayers for carrying out its research and development award programs in a manner that facilitates research cost-effectively and in compliance with applicable … statutes, rules and regulations, including 42 U.S.C. 217a, 281, 282, 41 U.S.C. 423 and 45 CFR part 75.

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 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).