The Code of Federal Regulations of the United States of AmericaU.S. Government Printing Office, 1979 The Code of Federal Regulations is the codification of the general and permanent rules published in the Federal Register by the executive departments and agencies of the Federal Government. |
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Results 1-5 of 100
Page 6
... Enrollment , Coverage , Exclusions , and Payment 405.201 Supplementary medical insurance ; general . 405.202 Enrollment ; general . 405.205 Eligibility requirements for enroll- ment . 405.206 Persons ineligible to enroll . 405.210 ...
... Enrollment , Coverage , Exclusions , and Payment 405.201 Supplementary medical insurance ; general . 405.202 Enrollment ; general . 405.205 Eligibility requirements for enroll- ment . 405.206 Persons ineligible to enroll . 405.210 ...
Page 14
... enrollment . 405.2021 Health insurance program benefi- ciary's entitlement to items and services . 405.2022 Liability of a health insurance program beneficiary enrolled in an HMO . 405.2023 Enrollment procedures . 405.2024 Membership ...
... enrollment . 405.2021 Health insurance program benefi- ciary's entitlement to items and services . 405.2022 Liability of a health insurance program beneficiary enrolled in an HMO . 405.2023 Enrollment procedures . 405.2024 Membership ...
Page 15
... enrollment . 405.2036 Information access and disclosure requirements . 405.2037 HMO Part A intermediary and Part B carrier responsibilities . 405.2038 Non - renewal , termination , modification of a contract . 405,2039 Transfer of HMO ...
... enrollment . 405.2036 Information access and disclosure requirements . 405.2037 HMO Part A intermediary and Part B carrier responsibilities . 405.2038 Non - renewal , termination , modification of a contract . 405,2039 Transfer of HMO ...
Page 18
... enroll in a health bene- fits plan under the Federal Employees Health Benefits Act of 1959 and to continue such enrollment , provided that he or such other person was a Federal employee at any time after February 15 , 1965. This ...
... enroll in a health bene- fits plan under the Federal Employees Health Benefits Act of 1959 and to continue such enrollment , provided that he or such other person was a Federal employee at any time after February 15 , 1965. This ...
Page 21
... enrolled under the supplementary medical insurance plan under Part B of title XVIII or is eligi- ble for such enrollment and files a timely enrollment request which enti- tles him to such coverage ; and ( 3 ) He is a resident of the ...
... enrolled under the supplementary medical insurance plan under Part B of title XVIII or is eligi- ble for such enrollment and files a timely enrollment request which enti- tles him to such coverage ; and ( 3 ) He is a resident of the ...
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Common terms and phrases
Administration Administrative Law Judge AFDC agreement allowable cost amended amount applicable appropriate approved assets basis carrier certification charges clinic coinsurance contract cost reporting coverage deductible dialysis eligibility end-stage renal disease enrollees enrollment entitled ESRD Federal filed HCFA Health Care Financing health insurance program health services hearing HMO's ices ICF/MR income individual inpatient hospital services institution intermediary items and services items or services laboratory licensed medicaid agency medically needy Medicare meet ment month notice organization paragraph participation party patient payment person personnel physi physical therapy physician premiums procedures provider of services provider's qualified quirements recipients Redesignated at 42 reimbursement renal renal dialysis request requirements resident Secretary Sept serv services furnished skilled nursing facility Social Security Act Social Security Administration specified speech pathology staff Standard Subpart supervision supplementary medical insurance termination tient tion treatment utilization review vidual
Popular passages
Page 283 - ... except that such term shall not include a private organization which is not a nonprofit organization exempt from Federal income taxation under section 501 of the Internal Revenue Code of 1954 (or a subdivision of such organization) unless it is licensed pursuant to State law and it meets such...
Page 79 - XVIII of the Act with respect to any item or service to the extent that payment has been made, or can reasonably be expected to be made, under a workmen's compensation law or plan of the United States or a State.
Page 307 - In determining if a single capital expenditure exceeds $100.000, the cost of studies, surveys, designs, plans, working drawings, specifications, and other activities essential to the acquisition, improvement, modernization, expansion, or replacement of land, plant, building, and equipment are included.
Page 38 - ... (C) in the case of post-hospital extended care services, such services are or were required to be given because the individual needs or needed on a daily basis skilled nursing care (provided directly by or requiring the supervision of skilled nursing personnel) or other skilled rehabilitation services, which as a practical matter can only be provided in a skilled nursing facility on an inpatient basis...
Page 491 - ... provide safeguards which restrict the use or disclosure of information concerning applicants and recipients to purposes directly connected with the administration of aid to dependent children...
Page 164 - Secretary, would cover 75 percent of the customary charges made for similar services in the same locality during the last preceding calendar year elapsing...
Page 355 - ... (4) in the case of an agency or organization in any State in which State or applicable local law provides for the licensing of...
Page 481 - ... are found by the Secretary to be necessary for the proper and efficient operation of the plan...
Page 128 - ... the costs with respect to individuals covered by the in-surance programs established by this title will not be borne by individuals not so covered, and the costs with respect to individuals not so covered will not be borne by such insurance programs...
Page 376 - No person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be subject to discrimination under any program or activity receiving Federal financial assistance.