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Code of Federal Regulations Title 42. Public Health § 42.417.404 General requirements

Current as of January 02, 2025 | Updated by Findlaw Staff

(a) In order to contract with CMS under the Medicare program, an entity must—

(1) Be determined by CMS to be an HMO or CMP (in accordance with §§ 117.142  1 and 417.407, respectively);  and

1 So in original. Probably should read “417.142”.

(2) Comply with the contract requirements set forth in subpart L of this part.

(b) CMS enters into or renews a contract only if it determines that action would be consistent with the effective and efficient implementation of section 1876 of the Act.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.417.404 General requirements - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-417-404/

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