---
kind: "unit"
title: "42"
title_heading: "Public Health"
key: "chIV/subchB/part417"
level: "part"
label: "Part 417"
heading: "Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans"
release: "ecfr-current"
date: "2026-08-27"
url: "https://uscodex.org/cfr/42/chIV-subchB-part417"
sections_count: 148
---

# Part 417 — Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans

Title 42 C.F.R. — Public Health › Chapter IV — Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter B — Medicare Program

## Contents

- [Subpart A — General Provisions](/cfr/42/chIV-subchB-part417-subpartA.md)
- [Subpart B — Qualified Health Maintenance Organizations: Services](/cfr/42/chIV-subchB-part417-subpartB.md)
- [Subpart C — Qualified Health Maintenance Organizations: Organization and Operation](/cfr/42/chIV-subchB-part417-subpartC.md)
- [Subpart D — Application for Federal Qualification](/cfr/42/chIV-subchB-part417-subpartD.md)
- [Subpart E — Inclusion of Qualified Health Maintenance Organizations in Employee Health Benefits Plans](/cfr/42/chIV-subchB-part417-subpartE.md)
- [Subpart F — Continued Regulation of Federally Qualified Health Maintenance Organizations](/cfr/42/chIV-subchB-part417-subpartF.md)
- [Subpart G-I — Subparts G-I [Reserved]](/cfr/42/chIV-subchB-part417-subpartG-I.md)
- [Subpart J — Qualifying Conditions for Medicare Contracts](/cfr/42/chIV-subchB-part417-subpartJ.md)
- [Subpart K — Enrollment, Entitlement, and Disenrollment under Medicare Contract](/cfr/42/chIV-subchB-part417-subpartK.md)
- [Subpart L — Medicare Contract Requirements](/cfr/42/chIV-subchB-part417-subpartL.md)
- [Subpart M — Change of Ownership and Leasing of Facilities: Effect on Medicare Contract](/cfr/42/chIV-subchB-part417-subpartM.md)
- [Subpart N — Medicare Payment to HMOs and CMPs: General Rules](/cfr/42/chIV-subchB-part417-subpartN.md)
- [Subpart O — Medicare Payment: Cost Basis](/cfr/42/chIV-subchB-part417-subpartO.md)
- [Subpart P — Medicare Payment: Risk Basis](/cfr/42/chIV-subchB-part417-subpartP.md)
- [Subpart Q — Beneficiary Appeals](/cfr/42/chIV-subchB-part417-subpartQ.md)
- [Subpart R — Medicare Contract Appeals](/cfr/42/chIV-subchB-part417-subpartR.md)
- [Subpart S-T — Subparts S-T [Reserved]](/cfr/42/chIV-subchB-part417-subpartS-T.md)
- [Subpart U — Health Care Prepayment Plans](/cfr/42/chIV-subchB-part417-subpartU.md)
- [Subpart V — Administration of Outstanding Loans and Loan Guarantees](/cfr/42/chIV-subchB-part417-subpartV.md)