United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 1995_register executive 2010-09-25 article Rules and Regulations D09002ee1be0596a5 D09002ee1be05971c United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Health Care Financing Administration originator org United States Government Agency or Subagency This rule clarifies and updates portions of the HCFA regulations that pertain to payment for services furnished to Medicare enrollees by health maintenance organizations (HMOs) and competitive medical plans (CMPs); appeals by Medicare enrollees concerning payment for those services; and appeals by HMOs and CMPs with regard to their Medicare contracts. This rule completes the special project aimed at the total technical revision of part 417. Part 417 contains the regulations applicable to all prepaid health care organizations, that is, HMOs, CMPs, and health care prepayment plans (HCPPs). These are technical and editorial changes that do not affect the substance of the regulations. They are intended to make it easier to find particular provisions, to eliminate needless repetition and remove obsolete content, and to better ensure uniform understanding of the rules. 60 FR 46228 https://www.govinfo.gov/app/details/FR-1995-09-06/95-21695 95-21695 fr06se95-9 4120-01-P OMC-014-FC https://www.govinfo.gov/app/details/FR-1995-09-06/95-21695 https://www.govinfo.gov/content/pkg/FR-1995-09-06/html/95-21695.htm https://www.govinfo.gov/content/pkg/FR-1995-09-06/pdf/95-21695.pdf 7 p. 46228 46234 60 FR 46228 Title 42 Part 417 42 CFR Part 417 Medicare Program; Payments to HMOs and CMPs and Appeals: Technical Amendments; Federal Register Vol. 60, Issue RULE 95-21695 DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Care Financing Administration 1995-10-01 OMC-014-FC 4120-01-P 95-21695 Final rule with comment period.

This rule clarifies and updates portions of the HCFA regulations that pertain to payment for services furnished to Medicare enrollees by health maintenance organizations (HMOs) and competitive medical plans (CMPs); appeals by Medicare enrollees concerning payment for those services; and appeals by HMOs and CMPs with regard to their Medicare contracts. This rule completes the special project aimed at the total technical revision of part 417. Part 417 contains the regulations applicable to all prepaid health care organizations, that is, HMOs, CMPs, and health care prepayment plans (HCPPs). These are technical and editorial changes that do not affect the substance of the regulations. They are intended to make it easier to find particular provisions, to eliminate needless repetition and remove obsolete content, and to better ensure uniform understanding of the rules.

Effective dates: These rules are effective as of October 1, 1995. Tracy Jensen, (410) 786-1033. Vol. 60, no. 172 Office of the Federal Register, National Archives and Records Administration 1995-09-06 continuing daily deposited born digital 290 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-1995-09-06 P0b002ee180a7eb58 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr06se95 https://www.govinfo.gov/app/details/FR-1995-09-06 https://www.govinfo.gov/content/pkg/FR-1995-09-06/pdf/FR-1995-09-06.pdf fdlp 46213 46495 DGPO 2010-09-25 2023-05-07 FR-1995-09-06 machine generated eng FR FR-1995-09-06 60 172