Learn More
Log In
Sign Up
42 C.F.R. Part 423 – Voluntary Medicare Prescription Drug Benefit | Midpage
Collections
Code of Federal Regulations
Title 42
Chapter IV
Subchapter B
Part 423
42 C.F.R. Part 423
Voluntary Medicare Prescription Drug Benefit
A
General Provisions
B
Eligibility and Enrollment
C
Benefits and Beneficiary Protections
D
Cost Control and Quality Improvement Requirements
E
[Reserved]
F
Submission of Bids and Monthly Beneficiary Premiums; Plan Approval
G
Payments to Part D Plan Sponsors For Qualified Prescription Drug Coverage
H
[Reserved]
I
Organization Compliance with State Law and Preemption by Federal Law
J
Coordination of Part D Plans With Other Prescription Drug Coverage
K
Application Procedures and Contracts with Part D plan sponsors
L
Effect of Change of Ownership or Leasing of Facilities During Term of Contract
M
Grievances, Coverage Determinations, Redeterminations, and Reconsiderations
N
Medicare Contract Determinations and Appeals
O
Intermediate Sanctions
P
Premiums and Cost-Sharing Subsidies for Low-Income Individuals
Q
Guaranteeing Access to a Choice of Coverage (Fallback Prescription Drug Plans)
R
Payments to Sponsors of Retiree Prescription Drug Plans
S
Special Rules for States-Eligibility Determinations for Subsidies and General Payment Provisions
T
Appeal Procedures for Civil Money Penalties
U
Reopening, ALJ Hearings and ALJ and Attorney Adjudicator Decisions, Council Review, and Judicial Review
V
Part D Communication Requirements
W
Medicare Coverage Gap Discount Program
X
Requirements for a Minimum Medical Loss Ratio
Y
Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries Through the Limited Income Newly Eligible Transition (LI NET) Program
Z
Appeals Process for Part D Program Integrity Prescription Drug Event Record Review Audits
AA
Medicare Part D Manufacturer Discount Program