Payments to Medicare Advantage Organizations | Midpage

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Code of Federal Regulations

Subpart G

Payments to Medicare Advantage Organizations

422.300Basis and scope.422.304Monthly payments.422.306Annual MA capitation rates.422.308Adjustments to capitation rates, benchmarks, bids, and payments.422.310Risk adjustment data.422.311RADV audit dispute and appeal processes.422.312Announcement of annual capitation rate, benchmarks, and methodology changes.422.314Special rules for beneficiaries enrolled in MA MSA plans.422.316Special rules for payments to Federally qualified health centers.422.318Special rules for coverage that begins or ends during an inpatient hospital stay.422.320Special rules for hospice care.422.322Source of payment and effect of MA plan election on payment.422.324Payments to MA organizations for graduate medical education costs.422.326Reporting and returning of overpayments.422.330CMS-identified overpayments associated with payment data submitted by MA organizations.