USC Subchapter XVIII

USC Subchapter XVIII
in effect

Contents

section1395c. Description of programsection1395d. Scope of benefitssection1395e. Deductibles and coinsurancesection1395f. Conditions of and limitations on payment for servicessection1395g. Payments to providers of servicessection1395h. Provisions relating to the administration of part Asection1395i. Federal Hospital Insurance Trust Fundsection1395i–1. Authorization of appropriationssection1395i–2. Hospital insurance benefits for uninsured elderly individuals not otherwise eligiblesection1395i–2a. Hospital insurance benefits for disabled individuals who have exhausted other entitlementsection1395i–3. Requirements for, and assuring quality of care in, skilled nursing facilitiessection1395i–3a. Protecting residents of long-term care facilitiessection1395i–4. Medicare rural hospital flexibility programsection1395i–5. Conditions for coverage of religious nonmedical health care institutional servicessection1395i–6. Hospice program survey and enforcement proceduressection1395j. Establishment of supplementary medical insurance program for aged and disabledsection1395k. Scope of benefits; definitionssection1395l. Payment of benefitssection1395m. Special payment rules for particular items and servicessection1395m–1. Improving policies for clinical diagnostic laboratory testssection1395n. Procedure for payment of claims of providers of servicessection1395o. Eligible individualssection1395p. Enrollment periodssection1395q. Coverage periodsection1395r. Amount of premiums for individuals enrolled under this partsection1395s. Payment of premiumssection1395t. Federal Supplementary Medical Insurance Trust Fundsection1395u. Provisions relating to the administration of part Bsection1395v. Agreements with Statessection1395w. Appropriations to cover Government contributions and contingency reservesection1395w–2. Intermediate sanctions for providers or suppliers of clinical diagnostic laboratory testssection1395w–3. Competitive acquisition of certain items and servicessection1395w–3a. Use of average sales price payment methodologysection1395w–3b. Competitive acquisition of outpatient drugs and biologicalssection1395w–4. Payment for physicians’ servicessection1395w–5. Public reporting of performance informationsection1395w–6. Empowering beneficiary choices through continued access to information on physicians’ servicessection1395w–21. Eligibility, election, and enrollmentsection1395w–22. Benefits and beneficiary protectionssection1395w–23. Payments to Medicare+Choice organizationssection1395w–24. Premiums and bid amountssection1395w–25. Organizational and financial requirements for Medicare+Choice organizations; provider-sponsored organizationssection1395w–26. Establishment of standardssection1395w–27. Contracts with Medicare+Choice organizationssection1395w–27a. Special rules for MA regional planssection1395w–28. Definitions; miscellaneous provisionssubpart1. USC Subpart 1subpart2. USC Subpart 2subpart3. USC Subpart 3subpart4. USC Subpart 4subpart5. USC Subpart 5section1395aa. Agreements with Statessection1395aaa. Contract with a consensus-based entity regarding performance measurementsection1395aaa–1. Quality and efficiency measurementsection1395bb. Effect of accreditationsection1395bbb. Conditions of participation for home health agencies; home health qualitysection1395cc. Agreements with providers of services; enrollment processessection1395cc–1. Demonstration of application of physician volume increases to group practicessection1395cc–2. Provisions for administration of demonstration programsection1395cc–3. Health care quality demonstration programsection1395cc–4. National pilot program on payment bundlingsection1395cc–5. Independence at home medical practice demonstration programsection1395cc–6. Opioid use disorder treatment demonstration programsection1395cc–7. Extension of Acute Hospital Care at Home initiativesection1395ccc. Offset of payments to individuals to collect past-due obligations arising from breach of scholarship and loan contractsection1395dd. Examination and treatment for emergency medical conditions and women in laborsection1395ddd. Medicare Integrity Programsection1395ee. Practicing Physicians Advisory Council; Council for Technology and Innovationsection1395eee. Payments to, and coverage of benefits under, programs of all-inclusive care for elderly (PACE)section1395ff. Determinations; appealssection1395fff. Prospective payment for home health servicessection1395gg. Overpayment on behalf of individuals and settlement of claims for benefits on behalf of deceased individualssection1395hh. Regulationssection1395hhh. Health care infrastructure improvement programsection1395ii. Application of certain provisions of sub­chapter IIsection1395iii. Medicare Improvement Fundsection1395jj. Designation of organization or publication by namesection1395jjj. Shared savings programsection1395kk. Administration of insurance programssection1395kk–1. Contracts with medicare administrative contractorssection1395kk–2. Expanding availability of Medicare datasection1395ll. Studies and recommendationssection1395lll. Standardized post-acute care (PAC) assessment data for quality, payment, and discharge planningsection1395mm. Payments to health maintenance organizations and competitive medical planssection1395mmm. Limiting Medicare coverage of certain individualssection1395nn. Limitation on certain physician referralssection1395oo. Provider Reimbursement Review Boardsection1395pp. Limitation on liability where claims are disallowedsection1395qq. Indian Health Service facilitiessection1395rr. End stage renal disease programsection1395rr–1. Medicare coverage for individuals exposed to environmental health hazardssection1395ss. Certification of medicare supplemental health insurance policiessection1395ss–1. Clarificationsection1395tt. Hospital providers of extended care servicessection1395uu. Payments to promote closing or conversion of underutilized hospital facilitiessection1395vv. Withholding payments from certain medicaid providerssection1395ww. Payments to hospitals for inpatient hospital servicessection1395x. Definitionssection1395xx. Payment of provider-based physicians and payment under certain percentage arrangementssection1395y. Exclusions from coverage and medicare as secondary payersection1395yy. Payment to skilled nursing facilities for routine service costssection1395z. Consultation with State agencies and other organizations to develop conditions of participation for providers of servicessection1395zz. Provider education and technical assistancesection1395. Prohibition against any Federal interferencesection1395a. Free choice by patient guaranteedsection1395b. Option to individuals to obtain other health insurance protectionsection1395b–1. Incentives for economy while maintaining or improving quality in provision of health servicessection1395b–2. Notice of medicare benefits; medicare and medigap informationsection1395b–3. Health insurance advisory service for medicare beneficiariessection1395b–4. Health insurance information, counseling, and assistance grantssection1395b–5. Beneficiary incentive programssection1395b–6. Medicare Payment Advisory Commissionsection1395b–7. Explanation of medicare benefitssection1395b–8. Chronic care improvementsection1395b–9. Provisions relating to administrationsection1395b–10. Addressing health care disparities