---
kind: "section"
citation: "42 C.F.R. § 422.1"
title: "42"
number: "422.1"
heading: "Basis and scope."
url: "https://uscodex.org/cfr/42/422.1"
---

# §422.1. Basis and scope.

- (a) **Basis.** This part is based on the indicated provisions of the following:
  - (1) **The following provisions of the Act—**
    - (i) 1106—Disclosure of information in possession of agency.
    - (ii) 1128J(d)—Reporting and Returning of Overpayments.
    - (iii) 1851—Eligibility, election, and enrollment.
    - (iv) 1852—Benefits and beneficiary protections.
    - (v) 1853—Payments to Medicare Advantage (MA) organizations.
    - (vi) 1854—Premiums.
    - (vii) 1855—Organization, licensure, and solvency of MA organizations.
    - (viii) 1856—Standards.
    - (ix) 1857—Contract requirements.
    - (x) 1858—Special rules for MA Regional Plans.
    - (xi) 1859—Definitions; enrollment restriction for certain MA plans.
  - (2) [8 U.S.C. 1611](/usc/8/1611.md)—Aliens who are not qualified aliens ineligible for Federal public benefits.
- (b) **Scope.** This part establishes standards and sets forth the requirements, limitations, and procedures for Medicare services furnished, or paid for, by Medicare Advantage organizations through Medicare Advantage plans.

## Notes

### Amendments

[63 FR 35068, June 26, 1998, as amended at 70 FR 4714, Jan. 28, 2005; 80 FR 7958, Feb. 12, 2015; 81 FR 80556, Nov. 15, 2016]

### Source

Source: 63 FR 35068, June 26, 1998, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1306, 1395w-21 through 1395w-28, and 1395hh.

### Source

Source: 63 FR 18134, Apr. 14, 1998, unless otherwise noted.

### Amendments

[63 FR 35068, June 26, 1998, as amended at 70 FR 4714, Jan. 28, 2005; 80 FR 7958, Feb. 12, 2015; 81 FR 80556, Nov. 15, 2016]