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Federal Law

Title 42-Chapter IV-Subchapter B-Part 417-Subpart L. Medicare Contract Requirements

11/18/2024 42 CFR Section 417.479

Requirements for physician incentive plans

Prohibited financial incentives-Med. Adv., Risk-Physicians Taking-Med. Adv.
Federal Law

Title 42-Chapter IV-Subchapter B-Part 422-Subpart H. Provider-Sponsored Organizations

11/18/2024 Sections 42 CFR 422.352, 422.354, 422.356 and 422.378

Basic requirements; Requirements for affiliated providers; Determining substantial financial risk and majority financial interest; Relationship to State law.

Preemption-Medicare Advantage, Risk-Physicians Taking-Med. Adv.
Federal Law

Title 42-Chapter IV-Subchapter B-Part 422-Subpart E. Relationships with Providers

11/21/2024 42 CFR Section 422.208

Physician incentive plans: requirements and limitations

Prohibited financial incentives-Med. Adv., Risk-Physicians Taking-Med. Adv.
Federal Law

Title 42-Chapter 7-Subchapter XVIII-Part C. Medicare+Choice Program

11/21/2024 42 USC Section 1395w-22

Benefits and beneficiary protections

Anti-gag clause-Med. Adv., Directories-Med. Adv., Liability-insurer shifting to physician-Med. Adv., Med. Adv.-Med. Nec. Appeals-Deadlines, Med. Adv.-Med. Nec. Decisions-Deadlines, Network Adequacy-Med. Adv., Prohibited financial incentives-Med. Adv., Risk-Physicians Taking-Med. Adv.
State Law

Arkansas Code-Title 23-Subtitle 3-Chapter 99-Subchapter 9. Limitation on Financial Penalties in Alternative Payment Systems

07/28/2023 Arkansas Section 23-99-904

Waiver prohibited

Risk-Physicians Taking-Med. Adv.