§417.423. Special rules: ESRD and hospice patients.
42 C.F.R. § 417.423
ESRD patients.
A Medicare beneficiary who has been medically determined to have end-stage renal disease is not eligible to enroll in an HMO or CMP.
However, if a beneficiary is already enrolled in an HMO or CMP when he or she is determined to have end-stage renal disease, the HMO or CMP—
Must reenroll the beneficiary as required by § 417.434; and
May not disenroll the beneficiary except as provided in § 417.460.
Hospice patients. A Medicare beneficiary who elects hospice care under § 418.24 of this chapter is not eligible to enroll in an HMO or CMP as long as the hospice election remains in effect.
Notes, amendments, and revision history
Amendments
[60 FR 45677, Sept. 1, 1995]
Source
Source: 50 FR 1346, Jan. 10, 1985, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302 and 1395hh, and 300e, 300e-5, and 300e-9, and 31 U.S.C. 9701.
Amendments
[60 FR 45677, Sept. 1, 1995]