Code of Federal Regulations · Section

§ 417.533 — Part B Carrier Responsibilities

42 C.F.R. § 417.533

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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

42 C.F.R. § 417.532 42 C.F.R. § 417.534

Authorizing Statute

Fees and charges for Government services and things of value
31 U.S.C. § 9701
Rules and regulations; impact analyses of Medicare and Medicaid rules and regulations on small rural hospitals
42 U.S.C. § 1302