Code of Federal Regulations

  1. Title 42
  2. Chapter IV
Title 42 Public Health Part / Section
Chapter IV Centers for Medicare & Medicaid Services, Department of Health and Human Services 400 – 699
Subchapter A General Provisions 400 – 403
Part 400 Introduction; Definitions 400.200 – 400.203
Part 401 General Administrative Requirements 401.101 – 401.722
Part 402 Civil Money Penalties, Assessments, and Exclusions 402.1 – 402.308
Part 403 Special Programs and Projects 403.200 – 403.1204
Subchapter B Medicare Program 405 – 429
Part 405 Federal Health Insurance for the Aged and Disabled 405.201 – 405.2472
Part 406 Hospital Insurance Eligibility and Entitlement 406.1 – 406.52
Part 407 Supplementary Medical Insurance (SMI) Enrollment and Entitlement 407.1 – 407.62
Part 408 Premiums for Supplementary Medical Insurance 408.1 – 408.210
Part 409 Hospital Insurance Benefits 409.1 – 409.102
Part 410 Supplementary Medical Insurance (SMI) Benefits 410.1 – 410.175
Part 411 Exclusions from Medicare and Limitations on Medicare Payment 411.1 – 411.408
Part 412 Prospective Payment Systems for Inpatient Hospital Services 412.1 – 412.634
Part 413 Principles of Reasonable Cost Reimbursement; Payment for End-Stage Renal Disease Services; Prospectively Determined Payment Rates for Skilled Nursing Facilities; Payment for Acute Kidney Injury Dialysis 413.1 – 413.420
Part 414 Payment for Part B Medical and Other Health Services 414.1 – 414.1550
Part 415 Services Furnished by Physicians in Providers, Supervising Physicians in Teaching Settings, and Residents in Certain Settings 415.1 – 415.208
Part 416 Ambulatory Surgical Services 416.1 – 416.330
Part 417 Health Maintenance Organizations, Competitive Medical Plans, and Health Care Prepayment Plans 417.1 – 417.940
Part 418 Hospice Care 418.1 – 418.405
Part 419 Prospective Payment Systems for Hospital Outpatient Department Services 419.1 – 419.94
Part 420 Program Integrity: Medicare 420.1 – 420.410
Part 421 Medicare Contracting 421.1 – 421.404
Part 422 Medicare Advantage Program 422.1 – 422.2615
Part 423 Voluntary Medicare Prescription Drug Benefit 423.1 – 423.2615
Part 424 Conditions for Medicare Payment 424.1 – 424.575
Part 425 Medicare Shared Savings Program 425.10 – 425.810
Part 426 Review of National Coverage Determinations and Local Coverage Determinations 426.100 – 426.587
Parts 427-429 Parts 427-429 [Reserved]
Subchapter C Medical Assistance Programs 430 – 456
Part 430 Grants to States for Medical Assistance Programs 430.0 – 430.104
Part 431 State Organization and General Administration 431.1 – 431.1010
Part 432 State Personnel Administration 432.1 – 432.55
Part 433 State Fiscal Administration 433.1 – 433.400
Part 434 Contracts 434.1 – 434.78
Part 435 Eligibility in the States, District of Columbia, the Northern Mariana Islands, and American Samoa 435.2 – 435.1205
Part 436 Eligibility in Guam, Puerto Rico, and the Virgin Islands 436.1 – 436.1102
Part 438 Managed Care 438.1 – 438.930
Part 440 Services: General Provisions 440.1 – 440.395
Part 441 Services: Requirements and Limits Applicable to Specific Services 441.1 – 441.745
Part 442 Standards for Payment to Nursing Facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities 442.1 – 442.119
Part 447 Payments for Services 447.1 – 447.522
Part 455 Program Integrity: Medicaid 455.1 – 455.518
Part 456 Utilization Control 456.1 – 456.725
Subchapter D State Children's Health Insurance Programs (SCHIPs) 457
Part 457 Allotments and Grants to States 457.1 – 457.1285
Subchapter E Programs of All-Inclusive Care for the Elderly (PACE) 460
Part 460 Programs of All-Inclusive Care for the Elderly (PACE) 460.2 – 460.210
Subchapter F Quality Improvement Organizations 475 – 481
Part 475 Quality Improvement Organizations 475.1 – 475.107
Part 476 Quality Improvement Organization Review 476.1 – 476.170
Part 478 Reconsiderations and Appeals 478.10 – 478.48
Part 480 Acquisition, Protection, and Disclosure of Quality Improvement Organization Information 480.101 – 480.145
Part 481 Part 481 [Reserved]
Subchapter G Standards and Certification 482 – 498
Part 482 Conditions of Participation for Hospitals 482.1 – 482.104
Part 483 Requirements for States and Long Term Care Facilities 483.1 – 483.480
Part 484 Home Health Services 484.1 – 484.375
Part 485 Conditions of Participation: Specialized Providers 485.50 – 485.920
Part 486 Conditions for Coverage of Specialized Services Furnished by Suppliers 486.1 – 486.525
Part 488 Survey, Certification, and Enforcement Procedures 488.1 – 488.1265
Part 489 Provider Agreements and Supplier Approval 489.1 – 489.104
Part 491 Certification of Certain Health Facilities 491.1 – 491.12
Part 493 Laboratory Requirements 493.1 – 493.2001
Part 494 Conditions for Coverage for End-Stage Renal Disease Facilities 494.1 – 494.180
Part 495 Standards for the Electronic Health Record Technology Incentive Program 495.2 – 495.370
Part 498 Appeals Procedures for Determinations That Affect Participation in the Medicare Program and for Determinations That Affect the Participation of ICFs/IID and Certain NFs in the Medicaid Program 498.1 – 498.103
Subchapter H Health Care Infrastructure and Model Programs 505 – 512
Part 505 Establishment of the Health Care Infrastructure Improvement Program 505.1 – 505.19
Part 510 Comprehensive Care for Joint Replacement Model 510.1 – 510.900
Part 512 Radiation Oncology Model and End Stage Renal Disease Treatment Choices Model 512.100 – 512.397
Subchapter I Basic Health Program 600 – 699
Part 600 Administration, Eligibility, Essential Health Benefits, Performance Standards, Service Delivery Requirements, Premium and Cost Sharing, Allotments, and Reconcilation 600.1 – 600.715
Parts 601-699 Parts 601-699 [Reserved]