42 Public Health 2 1999-10-01 1999-10-01 false HEALTH CAREFINANCING ADMINISTRATION,DEPARTMENT OF HEALTH ANDHUMAN SERVICES IV CHAPTER IV Public Health CHAPTER IV—HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES Editorial Note:

Nomenclature changes affecting chapter IV appear at 53 FR 6634, Mar. 2, 1988; 53 FR 47201, Nov. 22, 1988; 56 FR 8852, Mar. 1, 1991 and 62 FR 46037, Aug. 29, 1997.

 SUBCHAPTER A—GENERAL PROVISIONS Part Page 400 Introduction; definitions 5 401 General administrative requirements 9 402 Civil money penalties, assessments, and exclusions 22 403 Special programs and projects 35 SUBCHAPTER B—MEDICARE PROGRAM 405 Federal health insurance for the aged and disabled 52 406 Hospital insurance eligibility and entitlement 159 407 Supplementary medical insurance (SMI) enrollment and entitlement 175 408 Premiums for supplementary medical insurance 185 409 Hospital insurance benefits 199 410 Supplementary medical insurance (SMI) benefits 225 411 Exclusions from Medicare and limitations on Medicare payment 265 412 Prospective payment systems for inpatient hospital services 320 413 Principles of reasonable cost reimbursement; payment for end-stage renal disease services; prospectively determined payment rates for skilled nursing facilities 408 414 Payment for Part B medical and other health services 519 415 Services furnished by physicians in providers, supervising physicians in teaching settings, and residents in certain settings 544 416 Ambulatory surgical services 562 417 Health maintenance organizations, competitive medical plans, and health care prepayment plans 571 418 Hospice care 665 420 Program integrity: Medicare 682 421 Intermediaries and carriers 690 422 Medicare+Choice program 703 424 Conditions for Medicare payment 798