2005 CFR Title 42, Volume 2

Title 42--Public Health CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 403--SPECIAL PROGRAMS AND PROJECTS
	403.200	Basis and scope.
	403.201	State regulation of insurance policies.
	403.205	Medicare supplemental policy.
	403.206	General standards for Medicare supplemental policies.
	403.210	NAIC model standards.
	403.215	Loss ratio standards.
	403.220	Supplemental Health Insurance Panel.
	403.222	State with an approved regulatory program.
	403.231	Emblem.
	403.232	Requirements and procedures for obtaining certification.
	403.235	Review and certification of policies.
	403.239	Submittal of material to retain certification.
	403.245	Loss of certification.
	403.248	Administrative review of CMS determinations.
	403.250	Loss ratio calculations: General provisions.
	403.251	Loss ratio date and time frame provisions.
	403.253	Calculation of benefits.
	403.254	Calculation of premiums.
	403.256	Loss ratio supporting data.
	403.258	Statement of actuarial opinion.
	403.300	Basis and purpose.
	403.302	Definitions.
	403.304	Minimum requirements for State systems--discretionary approval.
	403.306	Additional requirements for State systems--mandatory approval.
	403.308	State systems under demonstration projects--mandatory approval.
	403.310	Reduction in payments.
	403.312	Submittal of application.
	403.314	Evaluation of State systems.
	403.316	Reconsideration of certain denied applications.
	403.318	Approval of State systems.
	403.320	CMS review and monitoring of State systems.
	403.321	State systems for hospital outpatient services.
	403.322	Termination of agreements for Medicare recognition of State systems.
	403.500	Basis, scope, and definition.
	403.501	Eligibility for grants.
	403.502	Availability of grants.
	403.504	Number and size of grants.
	403.508	Limitations.
	403.510	Reporting requirements.
	403.512	Administration.
	403.700	Basis and purpose.
	403.702	Definitions and terms.
	403.720	Conditions for coverage.
	403.724	Valid election requirements.
	403.730	Condition of participation: Patient rights.
	403.732	Condition of participation: Quality assessment and performance improvement.
	403.734	Condition of participation: Food services.
	403.736	Condition of participation: Discharge planning.
	403.738	Condition of participation: Administration.
	403.740	Condition of participation: Staffing.
	403.742	Condition of participation: Physical environment.
	403.744	Condition of participation: Life safety from fire.
	403.746	Condition of participation: Utilization review.
	403.750	Estimate of expenditures and adjustments.
	403.752	Payment provisions.
	403.754	Monitoring expenditure level.
	403.756	Sunset provision.
	403.764	Basis and purpose of religious nonmedical health care institutions providing home service.
	403.766	Requirements for coverage and payment of RNHCI home services.
	403.768	Excluded services.
	403.770	Payments for home services.
	403.800	Basis and scope.
	403.802	Definitions.
	403.804	General rules for solicitation, application and Medicare endorsement period.
	403.806	Sponsor requirements for eligibility for endorsement.
	403.808	Use of transitional assistance funds.
	403.810	Eligibility and reconsiderations.
	403.811	Enrollment and disenrollment and associated endorsed sponsor requirements.
	403.812	HIPAA privacy, security, administrative data standards, and national identifiers.
	403.813	Marketing limitations and record retention requirements.
	403.814	Special rules concerning Part C organizations and Medicare cost plans and their enrollees.
	403.815	Special rules concerning States.
	403.816	Special rules concerning long-term care and I/T/U pharmacies.
	403.817	Special rules concerning the territories.
	403.820	Sanctions, penalties, and termination.
	403.822	Reimbursement of transitional assistance and associated sponsor requirements.