(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—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.
[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]