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CFR > Title 42 - Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER B—MEDICARE PROGRAM (parts 405 to 426) > PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS > SUBPART O—Medicare Payment: Cost Basis (§417.530 to §417.576)

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SUBPART O—Medicare Payment: Cost Basis (§417.530 to §417.576)

417.530—Basis and scope.
417.531—Hospice care services.
417.532—General considerations.
417.533—Part B carrier responsibilities.
417.534—Allowable costs.
417.536—Cost payment principles.
417.538—Enrollment and marketing costs.
417.540—Enrollment costs.
417.542—Reinsurance costs.
417.544—Physicians' services furnished directly by the HMO or CMP.
417.546—Physicians' services and other Part B supplier services furnished under arrangements.
417.548—Provider services through arrangements.
417.550—Special Medicare program requirements.
417.552—Cost apportionment: General provisions.
417.554—Apportionment: Provider services furnished directly by the HMO or CMP.
417.556—Apportionment: Provider services furnished by the HMO or CMP through arrangements with others.
417.558—Emergency, urgently needed, and out-of-area services for which the HMO or CMP accepts responsibility.
417.560—Apportionment: Part B physician and supplier services.
417.564—Apportionment and allocation of administrative and general costs.
417.566—Other methods of allocation and apportionment.
417.568—Adequate financial records, statistical data, and cost finding.
417.570—Interim per capita payments.
417.572—Budget and enrollment forecast and interim reports.
417.574—Interim settlement.
417.576—Final settlement.

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