42 CFR 417.533
§ 417.533 Part B carrier responsibilities.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 417.533, § 417.533 Part B carrier responsibilities, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204258
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Full text
In paying for Part B services furnished to its enrollees by suppliers, the HMO or CMP must—
(a) Determine the eligibility of individuals to receive those services through the HMO or CMP;
(b) Make proper coverage decisions and appropriate payment as authorized under § 421.200 of this chapter for the services for which its Medicare enrollees are eligible; and
(c) Carry out any other procedures that CMS may require.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.