42 CFR 422.210
§ 422.210 Assurances to CMS.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 422.210, § 422.210 Assurances to CMS, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204558
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Full text
(a) Assurances to CMS. Each organization will provide assurance satisfactory to the Secretary that the requirements of § 422.208 are met.
(b) Disclosure to Medicare Beneficiaries. Each MA organization must provide the following information to any Medicare beneficiary who requests it:
(1) Whether the MA organization uses a physician incentive plan that affects the use of referral services.
(2) The type of incentive arrangement.
(3) Whether stop-loss protection is provided.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.