Application Procedures and Contracts for Medicare Advantage Organizations | Midpage

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Code of Federal Regulations

Subpart K

Application Procedures and Contracts for Medicare Advantage Organizations

422.500Scope and definitions.422.501Application requirements.422.502Evaluation and determination procedures.422.503General provisions.422.504Contract provisions.422.505Effective date and term of contract.422.506Nonrenewal of contract.422.508Modification or termination of contract by mutual consent.422.510Termination of contract by CMS.422.512Termination of contract by the MA organization.422.514Enrollment requirements.422.516Validation of Part C reporting requirements.422.520Prompt payment by MA organization.422.521Effective date of new significant regulatory requirements.422.524Special rules for RFB societies.422.527Agreements with Federally qualified health centers.422.528Final settlement process and payment.422.529Requesting an appeal of the final settlement amount.422.530Plan crosswalks.