42 C.F.R. § 417.423 Special rules: ESRD and hospice patients.
Title 42 - Public Health
(a) ESRD patients. (1) A Medicare beneficiary who has been medically determined to have end-stage renal disease is not eligible to enroll in an HMO or CMP. (2) However, if a beneficiary is already enrolled in an HMO or CMP when he or she is determined to have end-stage renal disease, the HMO or CMP— (i) Must reenroll the beneficiary as required by §417.434; and (ii) May not disenroll the beneficiary except as provided in §417.460. (b) Hospice patients. A Medicare beneficiary who elects hospice care under §418.24 of this chapter is not eligible to enroll in an HMO or CMP as long as the hospice election remains in effect. [60 FR 45677, Sept. 1, 1995]
Title 42: Public Health
PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS
Subpart K—Enrollment, Entitlement, and Disenrollment under Medicare Contract
§ 417.423 Special rules: ESRD and hospice patients.
