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Home Page > Executive Branch > Code of Federal Regulations > Electronic Code of Federal Regulations
e-CFR Data is current as of February 4, 2010
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER B--MEDICARE PROGRAM
PART 421--MEDICARE CONTRACTING
Subpart A--SCOPE, DEFINITIONS, AND GENERAL PROVISIONS
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| Basis, applicability, and scope. |
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Subpart B--INTERMEDIARIES
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| Assignment of providers of services to intermediaries during transition to Medicare Administrative Contractors (MACs). |
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| Requirements for approval of an agreement. |
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| Considerations relating to the effective and efficient administration of the program. |
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| Assignment and reassignment of providers by CMS. |
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| Intermediary's failure to perform efficiently and effectively. |
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| Termination of agreements. |
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| Intermediary's opportunity for hearing and right to judicial review. |
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Subpart C--CARRIERS
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| Performance criteria and standards. |
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| Requirements and conditions. |
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| Carrier's failure to perform efficiently and effectively. |
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| Termination by the Secretary. |
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| Designations of regional carriers to process claims for durable medical equipment, prosthetics, orthotics and supplies. |
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| Railroad Retirement Board contracts. |
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| Advance payments to suppliers furnishing items or services under Part B. |
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Subpart D--MEDICARE INTEGRITY PROGRAM CONTRACTORS
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| Basis, applicability, and scope. |
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| Eligibility requirements for Medicare integrity program contractors. |
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| Medicare integrity program contractor functions. |
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| Conflict of interest requirements. |
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| Conflict of interest resolution. |
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| Limitation on Medicare integrity program contractor liability. |
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Subpart E--MEDICARE ADMINISTRATIVE CONTRACTORS (MACS)
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| Statutory basis and scope. |
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| Assignment of providers and suppliers to MACs. |
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Subpart F--MEDICAL REVIEW
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| Medicare review function. |
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| Termination and extension of non-random prepayment complex medical review. |
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