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Title 42-Public Health

(This volume contains Parts 400 to 429)

Part

CHAPTER IV—Health Care Financing Administration, Department of Health and Human Services

400

CHAPTER IV-HEALTH CARE

FINANCING ADMINISTRATION,

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

EDITORIAL NOTE: Nomenclature changes affecting chapter IV appear at 45 FR 53806, Aug. 13, 1980; 50 FR 12741, Mar. 29, 1985; 50 FR 33034, Aug. 16, 1985; 51 FR 41338, Nov. 14, 1986; and 53 FR 6634, Mar. 2, 1988; 53 FR 47201, Nov. 22, 1988.

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405

406

407

Federal health insurance for the aged and dis-
abled....................................................

Hospital insurance eligibility and entitlement
Supplementary Medical Insurance (SMI) enroll-
ment and entitlement...........

39

159

......

172

408

409

Premiums for Supplementary Medical Insurance...
Hospital insurance benefits.

183

198

410

411

Supplementary medical insurance (SMI) benefits..
Exclusions from Medicare and limitations on
Medicare payment ..............

217

237

412

Prospective payment system for inpatient hospi-
tal services.

260

413

414 416

Principles of reasonable cost reimbursement; pay-
ment for end-stage renal disease services
Payment on a reasonable charge basis
Ambulatory surgical services..............

320

396

400

417

Health maintenance organizations, competitive
medical plans, and health care prepayment

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