42 CFR 425.400 - General
| Cite as | 42 CFR 425.400 |
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3 practice notes
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Medicare Program; CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Quality Payment Program; Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs; Medicare Enrollment of Opioid Treatment Programs; Electronic Prescribing for Controlled Substances for a Covered Part D Drug; Payment for Office/Outpatient Evaluation and Management Services; Hospital IQR Program; Establish New Code Categories; Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy; Coding and Payment for Virtual Check-in Services Interim Final Rule Policy; Coding and Payment for Personal Protective Equipment (PPE) Interim Final Rule Policy; Regulatory Revisions in Response to the Public Health Emergency (PHE) for COVID-19; and Finalization of Certain Provisions from the March 31st, May 8th and September 2nd Interim Fin
...on January 27, 2020. (See discussions in sections II.J. and III.G.5.d.(2) of this final rule, respectively.) (2) The revisions to 42 CFR 425.400(c)(2) are applicable retroactively for the performance year starting on January 1, 2020. (See discussion in section III.G.5.e.(3) of this final Co......
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Accountable Care Organizations: The Private Sector Will Lead
...based on the use of primary care service but permitting beneficiaries to choose non-ACO providers for any non-primary care service. 42 CFR § 425.400(b). Despite this gap (and others), CMS may have done enough to entice participation in the SSP—at least by providers who were unwilling to tak......
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Points & Authorities - Special Issue Fall 2011
...based on the use of primary care service but permitting beneficiaries to choose non-ACO providers for any non-primary care service. 42 CFR § 425.400(b). Despite this gap (and others), CMS may have done enough to entice participation in the SSP—at least by providers who were unwilling to tak......
2 firm's commentaries
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Accountable Care Organizations: The Private Sector Will Lead
...based on the use of primary care service but permitting beneficiaries to choose non-ACO providers for any non-primary care service. 42 CFR § 425.400(b). Despite this gap (and others), CMS may have done enough to entice participation in the SSP—at least by providers who were unwilling to tak......
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Points & Authorities - Special Issue Fall 2011
...based on the use of primary care service but permitting beneficiaries to choose non-ACO providers for any non-primary care service. 42 CFR § 425.400(b). Despite this gap (and others), CMS may have done enough to entice participation in the SSP—at least by providers who were unwilling to tak......
1 provisions
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Medicare Program; CY 2021 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies; Medicare Shared Savings Program Requirements; Medicaid Promoting Interoperability Program Requirements for Eligible Professionals; Quality Payment Program; Coverage of Opioid Use Disorder Services Furnished by Opioid Treatment Programs; Medicare Enrollment of Opioid Treatment Programs; Electronic Prescribing for Controlled Substances for a Covered Part D Drug; Payment for Office/Outpatient Evaluation and Management Services; Hospital IQR Program; Establish New Code Categories; Medicare Diabetes Prevention Program (MDPP) Expanded Model Emergency Policy; Coding and Payment for Virtual Check-in Services Interim Final Rule Policy; Coding and Payment for Personal Protective Equipment (PPE) Interim Final Rule Policy; Regulatory Revisions in Response to the Public Health Emergency (PHE) for COVID-19; and Finalization of Certain Provisions from the March 31st, May 8th and September 2nd Interim Fin
...on January 27, 2020. (See discussions in sections II.J. and III.G.5.d.(2) of this final rule, respectively.) (2) The revisions to 42 CFR 425.400(c)(2) are applicable retroactively for the performance year starting on January 1, 2020. (See discussion in section III.G.5.e.(3) of this final Co......