42 CFR 400.200 - General definitions
| Cite as | 42 CFR 400.200 |
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67 practice notes
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958 F.Supp.2d 1 (D.D.C. 2013), Civ. 12-600 (RJL), Lakeland Regional Health Sys. v. Sebelius
...the Health Care Financing Administration (" HCFA" ), administers the Medicare program for the Secretary. 42 U.S.C. § 1395kk; 42 C.F.R. § 400.200 et seq. Medicare providers like plaintiff enter into written agreements with the Secretary to provide services to eligible beneficiaries......
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77 P.3d 560 (N.M.App. 2003), 22,728, Palmer v. St. Joseph Healthcare P.S.O., Inc.
...A. JOSEPH ALARID, Judge. Notes: [1] Effective June 14, 2001, HCFA was renamed "Centers for Medicare and Medicaid Services." 42 C.F.R. § 400.200...
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973 F.Supp.2d 1 (D.D.C. 2014), C. A. 11-0116 (ESH), District Hospital Partners, L.P. v. Sebelius
...by Centers for Medicare and Medicaid Services (" CMS" ) under the direction of the Secretary. 42 U.S.C. § 1395kk; 42 C.F.R. § 400.200 et seq. When Medicare providers treat the program's beneficiaries, they receive coinsurance and deductible payments from the patient and then seek ......
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Lakeland Regional Health System v. Sebelius, 071613 DCDC, 12-600 (RJL)
...the Health Care Financing Administration ("HCFA"), administers the Medicare program for the Secretary. 42 U.S.C. § 1395kk; 42 C.F.R. § 400.200 et seq. Medicare providers like plaintiff enter into written agreements with the Secretary to provide services to eligible beneficiaries. ......
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56 cases
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Sunshine Haven Nursing Operations, LLC v. U.S. Dep't of Health & Human Servs., No. 12–9557.
...Palomar Med. Ctr. v. Sebelius, 693 F.3d 1151, 1153 (9th Cir.2012); Massachusetts v. Sebelius, 638 F.3d 24, 30 (1st Cir.2011) (citing 42 C.F.R. § 400.200 ¶ 2). Compliance is verified through unannounced inspections, called “surveys,” conducted on behalf of CMS by state survey agencies (SAs).......
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COOPER UNIVERSITY HOSP. v. Sebelius, Civil No. 08-3781 (JBS/JS).
...this action and close the docket. -------- Notes: 1 CMS was formerly known as the Health Care Financing Administration ("HCFA"). 42 C.F.R. § 400.200. 2 When this appeal was brought Michael O. Leavitt was Secretary, but he has since been replaced by Ms. Sebelius. The Court will therefore ord......
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Alegent Health-Immanuel Med. Ctr. v. Sebelius, Civil Case No. 12–812 RJL
...et seq. The Centers for Medicare and Medicaid Services (“CMS”) administers the program for the Secretary. See 42 U.S.C. § 1395kk ; 42 C.F.R. § 400.200 et seq. Medicare Part A serves as insurance for hospital care, related post-hospital care, home health services, and hospice care. See 42 U.......
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Commonwealth of Mass. v. Sebelius, No. 09–2392.
...within the Social Security Act. The Secretary has delegated administrative responsibilities for Medicare and Medicaid to CMS. See 42 C.F.R. § 400.200. In assessing the requirements of this statutory scheme, we must be mindful of any deference to which CMS may be entitled. Under Chevron, whe......
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1 firm's commentaries
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COVID-19: Navigating the Path to Recovery - Planning for Life After 1135 Waivers and Other Regulatory Flexibility Ends (Part 1)
...extension of 1135 Waivers may be easily corrected by the agency. Social Security Act of § 1135(c), 42 U.S.C. § 1320b–5(c) (2018). [22] 42 C.F.R. § 400.200. [23] April IFC, 85 Fed. Reg. at 19,230. [24] May IFC, 85 Fed. Reg. at 27,550, 27,551. [25] Supra note 7, at 5. [26] Id. at 4. [27] Supr......
13 provisions
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Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2022 Rates; Quality Programs and Medicare Promoting Interoperability Program Requirements for Eligible Hospitals and Critical Access Hospitals; Proposed Changes to Medicaid Provider Enrollment; and Proposed Changes to the Medicare Shared Savings Program
...under Level E of the BASIC track. The COVID-19 pandemic and the resulting ongoing public health emergency (PHE), as defined in 42 CFR 400.200, have continued to create a lack of predictability for many ACOs regarding the impact of utilization changes on beneficiary assignment and performanc......
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Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency
...under Sec. 33.116 to expedite a decision on a proposed waiver request during the public health emergency for COVID-19, as defined in 42 CFR 400.200, when a delay would undermine or compromise the purpose of the proposed waiver request and be contrary to the interests of consumers. These fle......
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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
...1, 2021. Applicability date: The policies in this final rule are applicable on January 1, 2021, except as follows: (1) The revisions to 42 CFR 400.200 and 425.611(b)(1)(ii) are applicable retroactively to the start of the PHE for COVID-19 on January 27, 2020. (See discussions in sections II......
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Medicare Program; End-Stage Renal Disease Prospective Payment System, Payment for Renal Dialysis Services Furnished to Individuals With Acute Kidney Injury, End-Stage Renal Disease Quality Incentive Program, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) and Fee Schedule Amounts, and Technical Amendments To Correct Existing Regulations Related to the CBP for Certain DMEPOS
...Guam, American Samoa, and the Northern Mariana Islands. The Northern Mariana Islands are also included in the definition of U.S. at 42 CFR 400.200. Thus, even though the Northern Mariana Islands are not explicitly referenced in sections 1861(x) and 210(h) and (i) (which notably do reference......
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