42 C.F.R. §422.1 - Basis and scope

Cite as42 C.F.R. §422.1
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10 cases
  • Power Mobility Coalition v. Leavitt, 05 CV 2027 RBW.
    • United States
    • United States District Courts. United States District Court (Columbia)
    • October 25, 2005
    ...C authorizes beneficiaries to obtain services through HMOs and other "managed care" arrangements, 42 U.S.C. §§ 1395w-21 to 1395w-28, 42 C.F.R. Part 422.1. Defs.' Opp'n at 3. Carriers have other responsibilities such as issuing bulletins to medical providers and suppliers, detailing coverage......
  • Dignity Health v. Local Initiative Health Care Auth. of L. A. Cnty., B288886
    • United States
    • California Court of Appeals
    • January 9, 2020
    ...to Medicaid, 42 C.F.R. part 438.114(e) instructs us to read "MA organization" (that is, Medicare Advantage8 organization, see 42 C.F.R. § 422.1(a)(1)(v) ) as referring to the "entit[y] responsible for Medicaid payment," such as a Medicaid managed care organization. (See 42 C.F.R. § 438.114(......
  • Winterbottom v. Underriner, CIVIL NO. 19-00364 JAO-WRP
    • United States
    • United States District Courts. 9th Circuit. United States District Court (Hawaii)
    • October 31, 2019
    ...and procedures for Medicare services furnished, or paid for, by Medicare Advantage organizations through Medicare Advantage plans." 42 C.F.R. § 422.1(b). The claim concerns the definition of "service area."11 PlaintiffPage 30 challenges the purportedly unequal application of the county inte......
  • Dial v. Healthspring of Alabama, Inc., CIV.A. 2:07-0412-KDC.
    • United States
    • United States District Courts. 11th Circuit. United States District Court of Southern District of Alabama
    • August 9, 2007
    ...by Medicare Advantage organizations through Medicare Advantage plans." 42 C.F.R. Ch. IV, Subch B, Part 422, Medicare Advantage Program, 42 C.F.R. § 422.1. Accordingly, plaintiffs' causes of action based upon defendants' meeting with the plaintiffs, soliciting their enrollment, and making re......
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