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Code of Federal Regulations Title 42. Public Health § 42.417.486 Disclosure of information and confidentiality

Current as of October 02, 2022 | Updated by FindLaw Staff

The contract must provide that the HMO or CMP agrees to the following:

(a) To submit to CMS—

(1) All financial information required under subpart O of this part and for final settlement;  and

(2) Any other information necessary for the administration or evaluation of the Medicare program.

(b) To comply with the requirements set forth in part 420, subpart C, of this chapter pertaining to the disclosure of ownership and control information.

(c) To comply with the requirements of the Privacy Act, as implemented by 45 CFR part 5b and subpart B of part 401 of this chapter, with respect to any system of records developed in performing carrier or intermediary functions under §§ 417.532 and 417.533.

(d) To meet the confidentiality requirements of § 482.24(b)(3) of this chapter for medical records and for all other enrollee information that is—

(1) Contained in its records or obtained from CMS or other sources;  and

(2) Not covered under paragraph (c) of this section.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.417.486 Disclosure of information and confidentiality - last updated October 02, 2022 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-417-486/

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