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§ 417.423 Special rules: ESRD and hospice patients.
(a) ESRD patients. (1) A Medicare beneficiary who has been medically determined to have end-stage renal disease is not eligible to enroll in an HMO or CMP.
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- Code of Federal Regulations
- C.F.R. Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—MEDICARE PROGRAM
- PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS
- Subpart K—Enrollment, Entitlement, and Disenrollment under Medicare Contract
42 C.F.R. § 417.423
Special rules: ESRD and hospice patients.
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Source: 60 FR 45677, Sept. 1, 1995
Table of Contents
Subpart K—Enrollment, Entitlement, and Disenrollment under Medicare Contract
- §417.420 Basic rules on enrollment and entitlement.
- §417.422 Eligibility to enroll in an HMO or CMP.
- §417.423 Special rules: ESRD and hospice patients.
- §417.424 Denial of enrollment.
- §417.426 Open enrollment requirements.
- §417.427 Extending MA and Part D program disclosure requirements to section 1876 cost contract plans.
- §417.428 Marketing activities.
- §417.430 Application procedures.
- §417.432 Conversion of enrollment.
- §417.434 Reenrollment.
- §417.436 Rules for enrollees.
- §417.440 Entitlement to health care services from an HMO or CMP.
- §417.442 Risk HMO's and CMP's: Conditions for provision of additional benefits.
- §417.444 Special rules for certain enrollees of risk HMOs and CMPs.
- §417.446 [Reserved]
- §417.448 Restriction on payments for services received by Medicare enrollees of risk HMOs or CMPs.
- §417.450 Effective date of coverage.
- §417.452 Liability of Medicare enrollees.
- §417.454 Charges to Medicare enrollees.
- §417.456 Refunds to Medicare enrollees.
- §417.458 Recoupment of uncollected deductible and coinsurance amounts.
- §417.460 Disenrollment of beneficiaries by an HMO or CMP.
- §417.461 Disenrollment by the enrollee.
- §417.464 End of CMS's liability for payment: Disenrollment of beneficiaries and termination or default of contract.