42 C.F.R. § 417.533 Part B carrier responsibilities.
Title 42 - Public Health
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 (c) Carry out any other procedures that CMS may require. [50 FR 1346, Jan. 10, 1985, as amended at 58 FR 38082, July 15, 1993; 60 FR 46230, Sept. 6, 1995]
Title 42: Public Health
PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS
Subpart O—Medicare Payment: Cost Basis
§ 417.533 Part B carrier responsibilities.
