§417.580. Basis and scope.
42 C.F.R. § 417.580
Basis. This subpart implements those portions of section 1876 (a), (e), and (g) of the Act that pertain to the amount CMS pays an organization for its Medicare enrollees who are enrolled on a risk basis.
Scope. This subpart sets forth—
Method of payment;
Procedures for determining the HMO's or CMP's payment rate; and
Procedures for determining the additional benefits (and their value) the HMO or CMP must provide to its Medicare enrollees.
Notes, amendments, and revision history
Amendments
[50 FR 1346, Jan. 10, 1985; 50 FR 20570, May 17, 1985, as amended at 58 FR 38080, July 15, 1993; 60 FR 46231, Sept. 6, 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
[50 FR 1346, Jan. 10, 1985; 50 FR 20570, May 17, 1985, as amended at 58 FR 38080, July 15, 1993; 60 FR 46231, Sept. 6, 1995]