C.F.R. » Title 42 » 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 D—Application for Federal Qualification

42 C.F.R. § 417.140

Scope

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This subpart sets forth—

(a) The requirements for—

(1) Entities that seek qualification as HMOs under title XIII of the PHS Act; and

(2) HMOs that seek—

(i) Qualification for their regional components; or

(ii) Expansion of their service areas;

(b) The procedures that CMS follows to make determinations; and

(c) Other related provisions, including application fees.

[59 FR 49836, Sept. 30, 1994]
Notes of Decisions
Cited in 1 case, 1990–1990 · leading case: Attanasio v. Div. of Compliance, 728 F. Supp. 812 (D. Mass. 1990).
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Attanasio v. Div. of Compliance, 728 F. Supp. 812 (D. Mass. 1990). “By “interested HMO,” the Court means any HMO (1) qualified by the Secretary pursuant to 42 C.F.R. §§ 417.140 et seq., and (2) wishing to have its services offered to eligible employees as part of an employer’s health benefit plan.”
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