42 C.F.R. § 417.140
Scope
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.
Notes of Decisions
Cited in 1
case, 1990–1990 · leading case: Attanasio v. Div. of Compliance, Off. of Health Maint. Organizations of the U.S. Dep't of Health & Human Servs., 728 F. Supp. 812 (D. Mass. 1990).
Attanasio v. Div. of Compliance, Off. of Health Maint. Organizations of the U.S. Dep't of Health & Human Servs., 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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