Table Of Contents of the INDEX

 

Abdominal aortic aneurysm
Sec 1305. -- Coverage And Waiver Of Cost-Sharing For Preventive Services.
(iii) MEDICARE COVERED PREVENTIVE SERVICES. - paragraph (1) - paragraph (I)
DIVISION B TITLE III SEC 1305. (a) Quoted: (iii) (1) (I)
Automated Concept:

ABDOMINAL aortic aneurysm for certain individuals ;   Ultrasound screening for

Index of Sec 1305. ...

Acceptable coverage
Sec 1702. -- Requirements And Special Rules For Certain Medicaid Eligible Individuals.
(1) IN GENERAL.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (1)
Automated Concept:

ACCEPTABLE coverage ;   State entering into Medicaid memorandum of understanding described in section 204(e)(4) of America's Affordable Health Choices acting of 2009 with Health Choices Commissioner with respect to coordinating implementation of provisions of division A of Act with State plan under title in order to ensure enrollment of Medicaid eligible individuals in

Index of Sec 1702. ...
(2) EXTENDED TREATMENT AS TRADITIONAL MEDICAID ELIGIBLE INDIVIDUAL.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (b) (2)
Automated Concept:

ACCEPTABLE coverage ;   End of period referred in subparagraph being not otherwise covered under

Index of Sec 1702. ...
Sec 1703. -- Chip And Medicaid Maintenance Of Effort.
(3) CHIP MOE TERMINATION DATE. - paragraph (B)
DIVISION B TITLE VII SUBTITLE A SEC 1703. (a) (2) Quoted: (gg) (3) (B)
Automated Concept:

ACCEPTABLE coverage ;   Employers having procedures in effect to ensure timely transition without interruption of coverage of Chip enrollees from assistance under title XXI to

Index of Sec 1703. ...

Account
Sec 1112. -- Medicare Dsh Report And Payment Adjustments In Response To Coverage Expansion.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1112. (a) (1)
Automated Concept:

ACCOUNT impact of health care reforms carried out under division A in reducing number of uninsured individuals ;   2016 Secretary of Health and Human Services submitting to Congress report on Medicare dss taking into

Index of Sec 1112. ...
Sec 1121. -- Sustainable Growth Rate Reform.
(e) APPLICATION TO ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM. - paragraph (2)
DIVISION B TITLE I SUBTITLE B PART 1 SEC 1121. (e) (2)
Automated Concept:

ACCOUNT under pilot program ;   Secretary of Health and Human Services applying difference in updating under paragraph on claim-by-claim or lump sum basis and payment to be taken into

Index of Sec 1121. ...
Sec 1158. -- Revision Of Medicare Payment Systems To Address Geographic Inequities.
(a) IN GENERAL.
DIVISION B TITLE I SUBTITLE C SEC 1158. (a)
Automated Concept:

ACCOUNT recommendations making in report under section 1157(d) ;   Taking into

Index of Sec 1158. ...
Sec 1161. -- Phase-In Of Payment Based On Fee-For-Service Costs.
(2) SPECIFIED AMOUNT.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1161. (2) Quoted: (n) (2)
Automated Concept:

ACCOUNT phase out ;   Amount specified in paragraph for area and year being amount specified in subsection for area and year adjusted to take into

Index of Sec 1161. ...
Sec 1167. -- Improving Risk Adjustment For Payments.
(b) IMPROVEMENTS TO RISK ADJUSTMENT.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1167. (b)
Automated Concept:

ACCOUNT evaluation under subsection ;   2012 Secretary implementing necessary improvements to risk adjustment system under section 1853(a)(1)(c) of Social Security Act 42 USC 1395-23(a)(1)(c), taking into

Index of Sec 1167. ...
Sec 1173. -- Information For Beneficiaries On Ma Plan Administrative Costs.
(4) MEDICAL LOSS RATIO TO BE DEFINED.
DIVISION B TITLE I SUBTITLE D PART 2 SEC 1173. (a) Quoted: (p) (4)
Automated Concept:

ACCOUNT meaning given term by Health Choices Commissioner under section 116 of America's Affordable Health Choices acting of 2009 ;   Taking into

Index of Sec 1173. ...
Sec 1191. -- Telehealth Expansion And Enhancements.
(iii) RECOMMENDATIONS OF THE TELEHEALTH ADVISORY COMMITTEE.
DIVISION B TITLE I SUBTITLE F SEC 1191. (b) (2) Quoted: (iii)
Automated Concept:

ACCOUNT recommendations of Telehealth Advisory Committee when adding or deleting services and establishing policies of Centers for Medicare and Medicaid Services regarding delivery of telehealth services ;   Secretary taking into

Index of Sec 1191. ...
Sec 1205. -- Intelligent Assignment In Enrollment.
(a) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1205. (a)
Automated Concept:

ACCOUNT extent to which prescription drugging necessary for individual covered in case of PDP sponsor of prescription drug plan using formulary ;   Process taking into

Index of Sec 1205. ...
Sec 1303. -- Payment Incentive For Selected Primary Care Services.
(3) PRIMARY CARE PRACTITIONER DEFINED. - paragraph (A) - paragraph (ii)
DIVISION B TITLE III SEC 1303. (a) Quoted: (p) (3) (A) (ii)
Automated Concept:

ACCOUNT for 50 percent of physician or practitioner's total allowed charges under section 1848  ;  

Index of Sec 1303. ...
(A) WITH OTHER PRIMARY CARE INCENTIVES.
DIVISION B TITLE III SEC 1303. (a) Quoted: (p) (5) (A)
Automated Concept:

ACCOUNT in computing payments under subsection ;   Provisions of subsection not to be taken into account in applying subsections and payment under subsections not to be taken into

Index of Sec 1303. ...
(B) WITH QUALITY INCENTIVES.
DIVISION B TITLE III SEC 1303. (a) Quoted: (p) (5) (B)
Automated Concept:

ACCOUNT in determining amounts otherwise to be paid under part for purposes of section 1834(g)(2)(b) ;   Payments under subsection not to be taken into

Index of Sec 1303. ...
(b) CONFORMING AMENDMENTS. - paragraph (1) - paragraph (4)
DIVISION B TITLE III SEC 1303. (b) (1) Quoted: (4)
Automated Concept:

ACCOUNT in computing payments under subsection ;   Provisions of subsection not to be taken into account in applying subsections or payment under subsections not to be taken into

Index of Sec 1303. ...
Sec 1401. -- Comparative Effectiveness Research.
(4) TAKING INTO ACCOUNT POTENTIAL DIFFERENCES. - paragraph (A)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (c) (4) (A)
Automated Concept:

ACCOUNT potential for differences in effectiveness of health care items and services used with various subpopulations ;   Designing to take into

Index of Sec 1401. ...
Sec 1421. -- Civil Money Penalties.
(VII) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (dd)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (a) (1) Quoted: (ii) (VII) (dd)
Automated Concept:

ACCOUNT pending resolution of subsequent appeals ;   Providing that amounts collected kept in

Index of Sec 1421. ...
(iv) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (IV)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (1) (A) (ii) Quoted: (G) (iv) (IV)
Automated Concept:

ACCOUNT pending resolution of subsequent appeals ;   Providing that amounts collected kept in

Index of Sec 1421. ...
(IV) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (dd)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (2) (A) Quoted: (ii) (IV) (dd)
Automated Concept:

ACCOUNT pending resolution of subsequent appeals ;   Providing that amounts collected kept in

Index of Sec 1421. ...
Sec 1501. -- Distribution Of Unused Residency Positions.
(I) MAINTENANCE OF PRIMARY CARE RESIDENT LEVEL.
DIVISION B TITLE V SEC 1501. (a) (4) Quoted: (8) (B) (ii) (I)
Automated Concept:

ACCOUNT application of subclauses and subparagraph ;   Determining without regard whether positions in excess of otherwise applicable resident limit for period but taking into

Index of Sec 1501. ...
(iii) CONSIDERATIONS IN REDISTRIBUTION.
DIVISION B TITLE V SEC 1501. (a) (4) Quoted: (8) (B) (iii)
Automated Concept:

ACCOUNT demonstrated likelihood of hospital filling positions within first 3 cost reporting periods beginning after July 1, 2011 determined by Secretary ;   Secretary taking into

Index of Sec 1501. ...

Account: escrow
Sec 1421. -- Civil Money Penalties.
(VII) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (cc)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (a) (1) Quoted: (ii) (VII) (cc)
Automated Concept:

ACCOUNT under direction of Secretary on earlier of date on which informal dispute resolution process under item completed or date being 90 days after date of imposition of penalty ;   Providing for collection of civil money penalty and placement of amounts collected in escrow

Index of Sec 1421. ...
(iv) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (III)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (1) (A) (ii) Quoted: (G) (iv) (III)
Automated Concept:

ACCOUNT under direction of State on earlier of date on which informal dispute resolution process under subclause completed or date being 90 days after date of imposition of penalty ;   Providing for collection of civil money penalty and placement of amounts collected in escrow

Index of Sec 1421. ...
(IV) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (cc)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (2) (A) Quoted: (ii) (IV) (cc)
Automated Concept:

ACCOUNT under direction of Secretary on earlier of date on which informal dispute resolution process under item completed or date being 90 days after date of imposition of penalty ;   Providing for collection of civil money penalty and placement of amounts collected in escrow

Index of Sec 1421. ...

Account costs
Sec 1149. -- Medpac Study And Report On Bone Mass Measurement.
(a) IN GENERAL. - paragraph (1)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1149. (a) (1)
Automated Concept:

ACCOUNT costs of acquiring necessary equipment ;   Assessment of adequacy of Medicare payment rates for services taking into

Index of Sec 1149. ...

Account recommendations
Sec 1744. -- Payments For Graduate Medical Education.
(4) SPECIFICATION OF GOALS AND REQUIREMENTS. - paragraph (A)
DIVISION B TITLE VII SUBTITLE E SEC 1744. (a) Quoted: (bb) (4) (A)
Automated Concept:

ACCOUNT recommendations of Advisory Committee and goals for approved medical residency training programs described in section 1886(h)(1)(b) ;   Taking into

Index of Sec 1744. ...

Account variations
Sec 1112. -- Medicare Dsh Report And Payment Adjustments In Response To Coverage Expansion.
(1) IN GENERAL. - paragraph (A)
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1112. (b) (1) (A)
Automated Concept:

ACCOUNT variations in empirical justification for Medicare dss attributable to hospital characteristics ;   Amount of Medicare dss to be adjusted based on recommendations of report under subsection and taking into

Index of Sec 1112. ...

Account workforce mobility
Sec 1157. -- Institute Of Medicine Study Of Geographic Adjustment Factors Under Medicare.
(c) EVALUATION. - paragraph (1) - paragraph (A)
DIVISION B TITLE I SUBTITLE C SEC 1157. (c) (1) (A)
Automated Concept:

ACCOUNT workforce mobility between urban and rural areas ;   Recruitment and retention taking into

Index of Sec 1157. ...

Accounting: services or
Sec 1411. -- Required Disclosure Of Ownership And Additional Disclosable Parties Information.
(A) ADDITIONAL DISCLOSABLE PARTY. - paragraph (iv)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1411. (a) Quoted: (c) (6) (A) (iv)
Automated Concept:

ACCOUNTING or financial services to facility ;   Providing management or administrative services, clinical consulting services or

Index of Sec 1411. ...

Accounting period: recent
Sec 1501. -- Distribution Of Unused Residency Positions.
(II) USE OF MOST RECENT ACCOUNTING PERIOD TO RECOGNIZE EXPANSION OF EXISTING PROGRAMS.
DIVISION B TITLE V SEC 1501. (a) (4) Quoted: (8) (A) (ii) (II)
Automated Concept:

ACCOUNTING period to recognize expansion of existing Programs ;   Use of recent

Index of Sec 1501. ...

Accreditation
Sec 1148. -- Durable Medical Equipment Program Improvements.
(c) TREATMENT OF CURRENT ACCREDITATION APPLICATIONS. - paragraph (3) - paragraph (iii)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1148. (c) (3) Quoted: (iii)
Automated Concept:

ACCREDITATION described in clause not applying for purposes of supplying diabetic testing supplies, canes and crutches in case of pharmacy enrolled under section 1866(j) as supplier of durable medical equipment, prosthetics, orthotics and supplies ;   Requirement for

Index of Sec 1148. ...
Sec 1501. -- Distribution Of Unused Residency Positions.
(III) ACCREDITATION.
DIVISION B TITLE V SEC 1501. (a) (4) Quoted: (8) (B) (ii) (III)
Automated Concept:

ACCREDITATION for program for additional resident positions ;   Hospital's residency programs in primary care fully accredited or hospital actively applying for

Index of Sec 1501. ...

Accreditation organization: independent
Sec 1148. -- Durable Medical Equipment Program Improvements.
(c) TREATMENT OF CURRENT ACCREDITATION APPLICATIONS. - paragraph (3) - paragraph (iii)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1148. (c) (3) Quoted: (iii)
Automated Concept:

ACCREDITATION organization taking action on supplier's application ;   Deeming as meeting applicable standards and accreditation requirement under subparagraph until timing as independent

Index of Sec 1148. ...

Accreditation processes of Accreditation Council:
Sec 1505. -- Improving Accountability For Approved Medical Residency Training.
(2) REPORT. - paragraph (B)
DIVISION B TITLE V SEC 1505. (b) (2) (B)
Automated Concept:

ACCREDITATION processes of Accreditation Council for Graduate Medical Education and American Osteopathic Association and effectiveness of processes in accrediting medical residency programs meeting goals referred in paragraph ;   Assessment of

Index of Sec 1505. ...

Accreditation requirement: applicable standards and
Sec 1148. -- Durable Medical Equipment Program Improvements.
(c) TREATMENT OF CURRENT ACCREDITATION APPLICATIONS. - paragraph (3) - paragraph (iii)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1148. (c) (3) Quoted: (iii)
Automated Concept:

ACCREDITATION organization taking action on supplier's application ;   Deeming as meeting applicable standards and accreditation requirement under subparagraph until timing as independent

Index of Sec 1148. ...

Administrative or other item
Sec 1645. -- Conforming Civil Monetary Penalties To False Claims Act Amendments.
SEC 1645. -- CONFORMING CIVIL MONETARY PENALTIES TO FALSE CLAIMS ACT AMENDMENTS. - paragraph (3) - paragraph (B) - paragraph (3)
DIVISION B TITLE VI SUBTITLE C SEC 1645. (3) (B) Quoted: (3)
Automated Concept:

HEALTH care program ;   Management, administrative or other item or servicing used in connection with directly indirectly related to Federal

Index of Sec 1645. ...

Administrative burden
Sec 1442. -- Development Of New Quality Measures; Gao Evaluation Of Data Collection Process For Quality Measurement.
(b) CONSIDERATIONS. - paragraph (2)
DIVISION B TITLE IV SUBTITLE C SEC 1442. Quoted: SEC 1193. (b) (2)
Automated Concept:

ADMINISTRATIVE burden on persons required to collect data and adequately protecting privacy of patients' personal health information and providing data security ;   Data collection efforts under system use efficient and cost-effective means in manner minimizing

Index of Sec 1442. ...

Administrative costs
Sec 1222. -- Demonstration To Promote Access For Medicare Beneficiaries With Limited English Proficiency By Providing Reimbursement For Culturally And Linguistically Appropriate Services.
(1) IN GENERAL.
DIVISION B TITLE II SUBTITLE B SEC 1222. (c) (1)
Automated Concept:

ADMINISTRATIVE costs associated with provision of competent language services and reporting required under subsection ;   Grantee using up to 10 percent of grant funds to pay for

Index of Sec 1222. ...

Administrative expenditure
Sec 1713. -- Optional Coverage Of Nurse Home Visitation Services.
(c) CONSTRUCTION.
DIVISION B TITLE VII SUBTITLE B SEC 1713. (c)
Automated Concept:

ADMINISTRATIVE expenditure For which payment being made under section 1903(a) or 2105(a) of Act after date of enactment of Act ;   Nothing in amendments making by section to be construed as affecting ability of State under title XIX or XXI of Social Security Act to provide nurse home visitation services as part of another class of items and services falling within definition of medical assistance or child health assistance under respective title or

Index of Sec 1713. ...

Administrative obligations
Sec 1641. -- Required Repayments Of Medicare And Medicaid Overpayments.
(3) CLARIFICATION.
DIVISION B TITLE VI SUBTITLE C SEC 1641. Quoted: (c) (3)
Automated Concept:

ADMINISTRATIVE obligations ;   Repayment of overpayments by provider of services or supplier not otherwise limiting provider or supplier's potential liability for

Index of Sec 1641. ...

Administrative procedures
Sec 1741. -- Payments To Pharmacists.
(2) DEFINITION OF AMP. - paragraph (C) - paragraph (v)
DIVISION B TITLE VII SUBTITLE E SEC 1741. (a) (2) (C) Quoted: (v)
Automated Concept:

ADMINISTRATIVE procedures ;   Infusion or injectable drug or Secretary determining as allowed in Agency

Index of Sec 1741. ...

Administrative requirements
Sec 1204. -- Enhanced Oversight Relating To Reimbursements For Retroactive Low Income Subsidy Enrollment.
(b) ADMINISTRATIVE REQUIREMENTS RELATING TO REIMBURSEMENTS.
DIVISION B TITLE II SUBTITLE A SEC 1204. (b)
Automated Concept:

ADMINISTRATIVE requirements relating to reimbursements  ;  

Index of Sec 1204. ...

Administrative services
Sec 1411. -- Required Disclosure Of Ownership And Additional Disclosable Parties Information.
(A) ADDITIONAL DISCLOSABLE PARTY. - paragraph (iv)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1411. (a) Quoted: (c) (6) (A) (iv)
Automated Concept:

ACCOUNTING or financial services to facility ;   Providing management or administrative services, clinical consulting services or

Index of Sec 1411. ...

Affiliation
Affiliation and affiliation or affiliations
Sec 1632. -- Enhanced Medicare, Medicaid, And Chip Program Disclosure Requirements Relating To Previous Affiliations.
(3) AUTHORITY TO DENY PARTICIPATION.
DIVISION B TITLE VI SUBTITLE C SEC 1632. (a) Quoted: (b) (3)
Automated Concept:

AFFILIATION and affiliation or affiliations of provider or supplier posing serious risk of fraud, waste or abuse  ;  

Index of Sec 1632. ...

Affiliation: previous
Sec 1632. -- Enhanced Medicare, Medicaid, And Chip Program Disclosure Requirements Relating To Previous Affiliations.
(2) ENHANCED SAFEGUARDS.
DIVISION B TITLE VI SUBTITLE C SEC 1632. (a) Quoted: (b) (2)
Automated Concept:

AFFILIATION of provider or supplier posing risk of fraud, waste or abuse ;   Secretary determining that previous

Index of Sec 1632. ...

Affiliation: Control and management
Sec 1757. -- Medicaid And Chip Exclusion From Participation Relating To Certain Ownership, Control, And Management Affiliations.
SEC 1757. -- MEDICAID AND CHIP EXCLUSION FROM PARTICIPATION RELATING TO CERTAIN OWNERSHIP, CONTROL, AND MANAGEMENT AFFILIATIONS.
DIVISION B TITLE VII SUBTITLE F SEC 1757.
Automated Concept:

AFFILIATIONS ;   Sec 1757, medicaid and Chip exclusion from participation relating to certain ownership, Control and management

Index of Sec 1757. ...

Affiliation: previous
Sec 1632. -- Enhanced Medicare, Medicaid, And Chip Program Disclosure Requirements Relating To Previous Affiliations.
SEC 1632. -- ENHANCED MEDICARE, MEDICAID, AND CHIP PROGRAM DISCLOSURE REQUIREMENTS RELATING TO PREVIOUS AFFILIATIONS.
DIVISION B TITLE VI SUBTITLE C SEC 1632.
Automated Concept:

AFFILIATIONS ;   Enhancing medicare, medicaid and Chip Program disclosure requirements relating to previous

Index of Sec 1632. ...

Affiliation agreement
Sec 1501. -- Distribution Of Unused Residency Positions.
(iii) AFFILIATION.
DIVISION B TITLE V SEC 1501. (a) (4) Quoted: (8) (A) (iii)
Automated Concept:

AFFILIATION agreement ;   Filling additional resident slots allocated to other hospitals through

Index of Sec 1501. ...

Affordability credits
Sec 1702. -- Requirements And Special Rules For Certain Medicaid Eligible Individuals.
(A) NON-TRADITIONAL INDIVIDUALS.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (2) (A)
Automated Concept:

AFFORDABILITY credits under subtitle C of title II of division A of America's Affordable Health Choices acting of 2009 as specified under memorandum ;   Redeterminations of eligibility for individuals unless periodicity of redeterminations being consistent with periodicity for redeterminations by Commissioner of eligibility for

Index of Sec 1702. ...
(3) DETERMINATIONS OF ELIGIBILITY FOR AFFORDABILITY CREDITS.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (3)
Automated Concept:

AFFORDABILITY credits under subtitle C of title II of division A of America's Affordable Health Choices acting of 2009 ;   Commissioner determining that State Medicaid agency having capacity to make determinations of eligibility for

Index of Sec 1702. ...
(3) DETERMINATIONS OF ELIGIBILITY FOR AFFORDABILITY CREDITS. - paragraph (B)
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (3) (B)
Automated Concept:

AFFORDABILITY credits ;   State Medicaid agency determining that Exchange-eligible individual being not eligible for

Index of Sec 1702. ...

All-condition measure of readmissions
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(B) EXPANSION OF APPLICABLE CONDITIONS.
DIVISION B TITLE I SUBTITLE C SEC 1151. (a) (1) Quoted: (p) (5) (B)
Automated Concept:

ALL-condition measure of readmissions as determined appropriate by Secretary ;   Secretary expanding applicable conditions beyond 3 conditions For which measures endorsed as described in subparagraph as of date of enactment of subsection to additional 4 conditions so identified by Medicare Payment Advisory Commission in report to Congress in June 2007 and other conditions and procedures including

Index of Sec 1151. ...

Ambulatory services
Sec 1724. -- Optional Coverage For Freestanding Birth Center Services.
(a) IN GENERAL. - paragraph (1) - paragraph (C) - paragraph (29)
DIVISION B TITLE VII SUBTITLE C SEC 1724. (a) (1) (C) Quoted: (29)
Automated Concept:

AMBULATORY services offered by freestanding birth center and otherwise included in plan ;   Freestanding birth center services and other

Index of Sec 1724. ...

Ambulatory surgical center
Sec 1156. -- Limitation On Medicare Exceptions To The Prohibition On Certain Physician Referrals Made To Hospitals.
(F) LIMITATION ON APPLICATION TO CERTAIN CONVERTED FACILITIES.
DIVISION B TITLE I SUBTITLE C SEC 1156. (a) (5) Quoted: (i) (1) (F)
Automated Concept:

AMBULATORY surgical center to hospital after date of enactment of subsection ;   Hospital not converted from

Index of Sec 1156. ...

Ambulatory surgical centers
Sec 1461. -- Requirement For Public Reporting By Hospitals And Ambulatory Surgical Centers On Health Care-Associated Infections.
(1) IN GENERAL.
DIVISION B TITLE IV SUBTITLE E SEC 1461. (a) Quoted: SEC 1138A. (a) (1)
Automated Concept:

AMBULATORY surgical center meeting requirements of titles XVIII or XIX participating in programs established under titles only if hospital or center reporting information on health care-associated infections developing in hospital or center as Secretary specifying ;   Secretary providing that hospital or

Index of Sec 1461. ...
(d) NON-PREEMPTION OF STATE LAWS.
DIVISION B TITLE IV SUBTITLE E SEC 1461. (a) Quoted: SEC 1138A. (d)
Automated Concept:

AMBULATORY surgical center ;   Nothing in section to be construed as preempting or otherwise affecting provision of State law relating to disclosure of information on health care-associated infections or patient safety procedures for hospital or

Index of Sec 1461. ...
SEC 1461. -- REQUIREMENT FOR PUBLIC REPORTING BY HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
DIVISION B TITLE IV SUBTITLE E SEC 1461.
Automated Concept:

AMBULATORY surgical Centers on health Care-associated infections ;   Sec 1461, requirement for public reporting by hospitals and

Index of Sec 1461. ...
SEC 1138A. -- REQUIREMENT FOR PUBLIC REPORTING BY HOSPITALS AND AMBULATORY SURGICAL CENTERS ON HEALTH CARE-ASSOCIATED INFECTIONS.
DIVISION B TITLE IV SUBTITLE E SEC 1461. (a) Quoted: SEC 1138A.
Automated Concept:

AMBULATORY surgical Centers on health Care-associated infections ;   Sec 1138a, requirement for public reporting by hospitals and

Index of Sec 1461. ...
(c) ANNUAL REPORT TO CONGRESS. - paragraph (1)
DIVISION B TITLE IV SUBTITLE E SEC 1461. (a) Quoted: SEC 1138A. (c) (1)
Automated Concept:

AMBULATORY surgical centers during year ;   Number and types of health care-associated infections reported under subsection in hospitals and

Index of Sec 1461. ...
(c) ANNUAL REPORT TO CONGRESS. - paragraph (5)
DIVISION B TITLE IV SUBTITLE E SEC 1461. (a) Quoted: SEC 1138A. (c) (5)
Automated Concept:

AMBULATORY surgical centers ;   Best practices to eliminate rates of occurrence type of infection in hospitals and

Index of Sec 1461. ...
(b) EFFECTIVE DATE.
DIVISION B TITLE IV SUBTITLE E SEC 1461. (b)
Automated Concept:

AMBULATORY surgical centers submitting reports taking effect on date as Secretary of Health and Human Services specifying ;   Requirement under sectioning that hospitals and

Index of Sec 1461. ...

Ambulatory surgical facility
Sec 1144. -- Require Ambulatory Surgical Centers (Ascs) To Submit Cost Data And Other Data.
(1) IN GENERAL. - paragraph (B) - paragraph (C)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1144. (b) (1) (B) Quoted: (C)
Automated Concept:

AMBULATORY surgical facility as Secretary specifying ;   Subparagraph Secretary requiring reporting of additional data relating to quality of services furnished in

Index of Sec 1144. ...

Analytic
Sec 1122. -- Misvalued Codes Under The Physician Fee Schedule.
(iii) REVIEW AND ADJUSTMENTS. - paragraph (III)
DIVISION B TITLE I SUBTITLE B PART 1 SEC 1122. (a) Quoted: (K) (iii) (III)
Automated Concept:

ANALYTIC contractors to identify and analyzing services identified under clause ;   Secretary using

Index of Sec 1122. ...

Angiographies
Sec 1156. -- Limitation On Medicare Exceptions To The Prohibition On Certain Physician Referrals Made To Hospitals.
(F) PROCEDURE ROOMS.
DIVISION B TITLE I SUBTITLE C SEC 1156. (a) (5) Quoted: (i) (2) (F)
Automated Concept:

ANGIOGRAPHIES, angiograms and endoscopies furnished ;   Term procedure rooms including rooms in which catheterizations,

Index of Sec 1156. ...

Appointment
Sec 1401. -- Comparative Effectiveness Research.
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (B)
Automated Concept:

APPOINTMENT ;   Considering appointment to Commission or clinical perspective advisory panel described paragraph Secretary or Commission reviewing expertise of individual and financial disclosure report filed by individual pursuant to Ethics in Government Act of 1978 for individual under consideations for

Index of Sec 1401. ...
Sec 1422. -- National Independent Monitor Pilot Program.
(e) COST OF APPOINTMENT.
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1422. (e)
Automated Concept:

APPOINTMENT of independent monitors under pilot program ;   Chain to be responsible for portion of costs associated with

Index of Sec 1422. ...
Sec 1614. -- Enhanced Hospice Program Safeguards.
(A) IN GENERAL. - paragraph (iii)
DIVISION B TITLE VI SUBTITLE B SEC 1614. (a) Quoted: SEC 1819A. (b) (2) (A) (iii)
Automated Concept:

APPOINTMENT of temporary management to oversee operation of hospice program and protecting and assuring health and safety of individuals under care of program when improvements being made  ;  

Index of Sec 1614. ...

Appropriation: further
Sec 1601. -- Increased Funding And Flexibility To Fight Fraud And Abuse.
(7) ADDITIONAL FUNDING.
DIVISION B TITLE VI SUBTITLE A SEC 1601. (a) (1) Quoted: (7)
Automated Concept:

APPROPRIATION until expended ;   Funds appropriated under paragraph to be allocated in same proportion as total funding appropriated with respect to paragraphs and allocated with respect to fiscal year 2010 and available without further

Index of Sec 1601. ...

Assessment
Sec 1611. -- Enhanced Penalties For False Statements On Provider Or Supplier Enrollment Applications.
(a) IN GENERAL. - paragraph (6)
DIVISION B TITLE VI SUBTITLE B SEC 1611. (a) (6)
Automated Concept:

ASSESSMENT of not more than 3 timing amount claimed as result of false statement, omission or misrepresenations of material fact claimed by provider of services or supplier whose application to participate containing false statement, omission or misrepresenations  ;  

Index of Sec 1611. ...
Sec 1616. -- Enhanced Penalties For Provision Of False Information By Medicare Advantage And Part D Plans.
(a) IN GENERAL.
DIVISION B TITLE VI SUBTITLE B SEC 1616. (a)
Automated Concept:

ASSESSMENT of not more than 3 timing amount claimed by plan or plan sponsor based upon misrepresenations or falsified information involved  ;  

Index of Sec 1616. ...
Sec 1645. -- Conforming Civil Monetary Penalties To False Claims Act Amendments.
SEC 1645. -- CONFORMING CIVIL MONETARY PENALTIES TO FALSE CLAIMS ACT AMENDMENTS. - paragraph (1) - paragraph (F)
DIVISION B TITLE VI SUBTITLE C SEC 1645. (1) (F)
Automated Concept:

ASSESSMENT of not more than 3 timing total amount of obligation to which false record or statment being material or avoided or decreased  ;  

Index of Sec 1645. ...

Assessment: quality
Sec 1412. -- Accountability Requirements.
(I) IN GENERAL.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (b) (1) (C) Quoted: (ii) (I)
Automated Concept:

ASSESSMENT and assurance activities conducted under clause ;   Coordinating implementation of plan with quality

Index of Sec 1412. ...
(I) IN GENERAL.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (b) (2) (C) Quoted: (ii) (I)
Automated Concept:

ASSESSMENT and assurance activities conducted under clause ;   Coordinating implementation of plan with quality

Index of Sec 1412. ...
(4) FACILITY PLAN.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (b) (4)
Automated Concept:

ASSESSMENT and assurance activities conducted under clause of sections ;   Coordinating implementation of plan with quality

Index of Sec 1412. ...

Assessment of adequacy of Medicare payment rates
Sec 1149. -- Medpac Study And Report On Bone Mass Measurement.
(a) IN GENERAL. - paragraph (1)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1149. (a) (1)
Automated Concept:

ACCOUNT costs of acquiring necessary equipment ;   Assessment of adequacy of Medicare payment rates for services taking into

Index of Sec 1149. ...

Assessment of communication strategies
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(c) RESPONSIBILITIES. - paragraph (4)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (c) (4)
Automated Concept:

ASSESSMENT of communication strategies for dual eligibles to determine whether additional informational materials or outreach  ;  

Index of Sec 1905. ...

Assessment of factors
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(c) RESPONSIBILITIES. - paragraph (5)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (c) (5)
Automated Concept:

ASSESSMENT of factors related to enrollee satisfaction with services and care delivery ;   Research and evaluation of areas where service utilization, quality and access to cost sharing protection to be improved and

Index of Sec 1905. ...

Assessment of sources of data
Sec 1143. -- Home Infusion Therapy Report To Congress.
SEC 1143. -- HOME INFUSION THERAPY REPORT TO CONGRESS. - paragraph (3)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1143. (3)
Automated Concept:

ASSESSMENT of sources of data on costs of home infusion therapy to be used to construct payment mechanisms in Medicare program  ;  

Index of Sec 1143. ...

Assessment: evaluation and
Sec 1157. -- Institute Of Medicine Study Of Geographic Adjustment Factors Under Medicare.
(b) MATTERS INCLUDED.
DIVISION B TITLE I SUBTITLE C SEC 1157. (b)
Automated Concept:

ASSESSMENT of following with respect to adjustment factors ;   Study including evaluation and

Index of Sec 1157. ...

Asset
Asset or resource test
Sec 1703. -- Chip And Medicaid Maintenance Of Effort.
(A) IN GENERAL.
DIVISION B TITLE VII SUBTITLE A SEC 1703. (b) (1) Quoted: (aa) (2) (A)
Automated Concept:

ASSET or resource test in determining eligibility of individual after first day under following ;   State applying

Index of Sec 1703. ...

Asset: waiver of
Sec 1703. -- Chip And Medicaid Maintenance Of Effort.
(B) OVERRIDING CONTRARY PROVISIONS; REFERENCES.
DIVISION B TITLE VII SUBTITLE A SEC 1703. (b) (1) Quoted: (aa) (2) (B)
Automated Concept:

ASSET or resource test described in subparagraph waived ;   Provisions of title preventing waiver of

Index of Sec 1703. ...

Attestation
Sec 1204. -- Enhanced Oversight Relating To Reimbursements For Retroactive Low Income Subsidy Enrollment.
(3) REPORTING REQUIREMENT. - paragraph (D)
DIVISION B TITLE II SUBTITLE A SEC 1204. (b) (3) (D)
Automated Concept:

ATTESTATION to Administrator of Centers for Medicare and Medicaid Services of total amount of reimbursement plan providing to beneficiaries for premiums and cost-sharing  ;  

Index of Sec 1204. ...

Auditable data: verifiable and
Sec 1416. -- Ensuring Staffing Accountability.
(C) SUBMISSION OF STAFFING INFORMATION BASED ON PAYROLL DATA IN A UNIFORM FORMAT.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1416. (a) Quoted: (C)
Automated Concept:

AUDITABLE data in uniform format ;   Beginning not later than 2 years after date of enactment of subparagraph and consulting with State long-term care ombudsman programs, consumer advocacy groups, provider stakeholder groups, employees and representatives and other parties Secretary deeming appropriate Secretary requiring skilled nursing facility electronically to submit to Secretary direct care staffing information based on payroll and other verifiable and

Index of Sec 1416. ...
(C) SUBMISSION OF STAFFING INFORMATION BASED ON PAYROLL DATA IN A UNIFORM FORMAT.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1416. (b) Quoted: (C)
Automated Concept:

AUDITABLE data in uniform format ;   Beginning not later than 2 years after date of enactment of subparagraph and consulting with State long-term care ombudsman programs, consumer advocacy groups, provider stakeholder groups, employees and representatives and other parties Secretary deeming appropriate Secretary requiring nursing facility electronically to submit to Secretary direct care staffing information based on payroll and other verifiable and

Index of Sec 1416. ...

Authorization: prior
Sec 1205. -- Intelligent Assignment In Enrollment.
(a) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1205. (a)
Automated Concept:

AUTHORIZATION or other restrictions on access to coverage of prescription drugs sponsor and overall quality of prescription drug plan as measured by quality ratings established by Secretary ;   Use of prior

Index of Sec 1205. ...

Beneficiary
Sec 1204. -- Enhanced Oversight Relating To Reimbursements For Retroactive Low Income Subsidy Enrollment.
(a) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1204. (a)
Automated Concept:

INFORMATION required to be filed with plan by beneficiary ;   Reimbursement to be made automatically by plan upon receipt of appropriate notice beneficiary being eligible for assistance described in subsection without further

Index of Sec 1204. ...
(2) TIMING OF REIMBURSEMENTS.
DIVISION B TITLE II SUBTITLE A SEC 1204. (b) (2)
Automated Concept:

DRUG plan or Ma-pd plan making reimbursement under subsection to retroactive lis enrollment beneficiary with respect to claim ;   Prescription

Index of Sec 1204. ...
(2) TIMING OF REIMBURSEMENTS. - paragraph (B)
DIVISION B TITLE II SUBTITLE A SEC 1204. (b) (2) (B)
Automated Concept:

BENEFICIARY filing claim with plan ;   Date on which

Index of Sec 1204. ...
(1) COVERED DRUG COSTS. - paragraph (A)
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (1) (A)
Automated Concept:

TITLE ;   Costs incurred by beneficiary during retroactive coverage period of beneficiary for covered part D drugs, premiums and cost-sharing under

Index of Sec 1204. ...
(2) ELIGIBLE THIRD PARTY.
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (2)
Automated Concept:

DRUG costs incurred by beneficiary during retroactive coverage period of beneficiary ;   Organization or other third party owed payment on behalf of beneficiary for covered

Index of Sec 1204. ...
Sec 1224. -- Definitions.
(11) MEDICARE BENEFICIARY.
DIVISION B TITLE II SUBTITLE B SEC 1224. (11)
Automated Concept:

BENEFICIARY meaning individual entitled to benefits under part A of title XVIII of Social Security Act or enrolled under part B of title ;   Term Medicare

Index of Sec 1224. ...
Sec 1234. -- Part B Special Enrollment Period And Waiver Of Limited Enrollment Penalty For Tricare Beneficiaries.
(l) - paragraph (1)
DIVISION B TITLE II SUBTITLE C SEC 1234. (a) (1) Quoted: (l) (1)
Automated Concept:

HOSPITAL insurance benefits under part A under section 226(b) or sectioning 226a and eligible to enroll ;   Case of individual being covered beneficiary at time individual entitled to

Index of Sec 1234. ...
(i) IN GENERAL.
DIVISION B TITLE II SUBTITLE C SEC 1234. (b) (2) (B) (i)
Automated Concept:

HOSPITAL insurance benefits under part A of title XVIII of Social Security Act under section 226(b) or 226a of Act and eligible to enroll ;   No increase in premium to be effected for month in case of individual being covered beneficiary at time individual entitled to

Index of Sec 1234. ...
Sec 1236. -- Demonstration Program On Use Of Patient Decisions Aids.
(1) IN GENERAL.
DIVISION B TITLE II SUBTITLE C SEC 1236. (c) (1)
Automated Concept:

MEDICAL care of condition involved and assisting beneficiary in thinking ;   Eligible provider participating in program routinely scheduling Medicare beneficiaries for counseling visit after viewing patient decision aid to answer questions beneficiary with respect to

Index of Sec 1236. ...
Sec 1302. -- Medical Home Pilot Program.
(C) TARGETED HIGH NEED BENEFICIARY DEFINED.
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (c) (1) (C)
Automated Concept:

BENEFICIARY meaning high need beneficiary being generally within upper 50th percentile of Medicare beneficiaries ;   Term targeted high need

Index of Sec 1302. ...
(D) AMOUNT OF PAYMENT. - paragraph (iii)
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (c) (3) (D) (iii)
Automated Concept:

RISK beneficiaries ;   Use appropriate risk-adjustment in determining amount of per beneficiary per month payment under paragraph in manner ensuring that higher payments being made for higher

Index of Sec 1302. ...
(C) HIGH NEED BENEFICIARY.
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (d) (1) (C)
Automated Concept:

BENEFICIARY meaning individual requiring regular medical monitoring, advising or treatment ;   Term high need

Index of Sec 1302. ...
(D) AMOUNT OF PAYMENT. - paragraph (ii)
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (d) (5) (D) (ii)
Automated Concept:

RISK-adjustment in determining amount of per beneficiary per month payment under paragraph ;   Use appropriate

Index of Sec 1302. ...

Beneficiary access
Sec 1149. -- Medpac Study And Report On Bone Mass Measurement.
(a) IN GENERAL. - paragraph (2)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1149. (a) (2)
Automated Concept:

BENEFICIARY access to bone mass measurement benefits in general and rural and minority communities specifically ;   Impact of Medicare payment changes since 2006 on

Index of Sec 1149. ...
Sec 1222. -- Demonstration To Promote Access For Medicare Beneficiaries With Limited English Proficiency By Providing Reimbursement For Culturally And Linguistically Appropriate Services.
(g) EVALUATION AND REPORT. - paragraph (2)
DIVISION B TITLE II SUBTITLE B SEC 1222. (g) (2)
Automated Concept:

BENEFICIARY access to care, utilization of services, efficiency and cost-effectiveness of health care delivery, patient satisfaction and selecting health outcomes ;   Culturally and linguistically appropriate services on

Index of Sec 1222. ...

Beneficiary coinsurance
Sec 1202. -- Elimination Of Part D Cost-Sharing For Certain Non-Institutionalized Full-Benefit Dual Eligible Individuals.
(II) CERTAIN OTHER INDIVIDUALS.
DIVISION B TITLE II SUBTITLE A SEC 1202. (a) (2) Quoted: (II)
Automated Concept:

BENEFICIARY coinsurance described in section 1860d-2(b)(2) ;   Elimination of

Index of Sec 1202. ...

Beneficiary data
Sec 1167. -- Improving Risk Adjustment For Payments.
(a) REPORT TO CONGRESS.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1167. (a)
Automated Concept:

BENEFICIARY data ;   Need and feasibility of including further gradations of diseases or conditions and multiple years of

Index of Sec 1167. ...

Beneficiary payment
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(4) ADDITIONAL TERMS. - paragraph (B)
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (4) (B)
Automated Concept:

BENEFICIARY payment ;   Discount not to be applied against negotiated price for purpose of calculating

Index of Sec 1182. ...

Beneficiary programs
Sec 1401. -- Comparative Effectiveness Research.
(A) IN GENERAL. - paragraph (iii)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (3) (A) (iii)
Automated Concept:

BENEFICIARY programs ;   15 additional members representing broad constituencies of stakeholders including clinicians, patients, researchers, third-party payers, consumers of Federal and State

Index of Sec 1401. ...

Beneficiary risk scores
Sec 1302. -- Medical Home Pilot Program.
(A) ESTABLISHMENT OF METHODOLOGY.
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (c) (3) (A)
Automated Concept:

BENEFICIARY risk scores to ensure that higher payments being made for higher risk beneficiaries ;   Secretary adjusting payments to medical homes based on

Index of Sec 1302. ...

Beneficiary's record
Sec 1222. -- Demonstration To Promote Access For Medicare Beneficiaries With Limited English Proficiency By Providing Reimbursement For Culturally And Linguistically Appropriate Services.
(ii) EXEMPTIONS. - paragraph (I)
DIVISION B TITLE II SUBTITLE B SEC 1222. (c) (4) (B) (ii) (I)
Automated Concept:

BENEFICIARY'S record ;   Friends or other persons untrained in interpretation or translation and grantee documenting request in

Index of Sec 1222. ...

Bilingual
Sec 1224. -- Definitions.
(1) BILINGUAL.
DIVISION B TITLE II SUBTITLE B SEC 1224. (1)
Automated Concept:

PROFICIENCY in two languages and ensuring effective communication occurring in languages ;   Term bilingual with respect to individual meaning person having sufficient degree of

Index of Sec 1224. ...

Bilingual staff: competent
Sec 1222. -- Demonstration To Promote Access For Medicare Beneficiaries With Limited English Proficiency By Providing Reimbursement For Culturally And Linguistically Appropriate Services.
(i) IN GENERAL.
DIVISION B TITLE II SUBTITLE B SEC 1222. (c) (4) (B) (i)
Automated Concept:

BILINGUAL staff or competent interpreter or translation services ;   Payments to be provided under section only to grantees utilizing competent

Index of Sec 1222. ...

Biologic
Sec 1181. -- Elimination Of Coverage Gap.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (1)
Automated Concept:

REBATE agreement described in paragraph ;   Term covered part D drug not including drug or biologic manufactured by manufacturer not entering and effect

Index of Sec 1181. ...
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (1)
Automated Concept:

DRUG not including drug or biologic manufactured by manufacturer not entering and effect for qualifying drugs discount agreement described in paragraph ;   Term covered part D

Index of Sec 1182. ...

Biological or medical supply
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(2) ACCURACY OF REPORTING.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (c) (2)
Automated Concept:

HEALTH care entity reporting physician ownership under subsection ;   Accuracy of information submitted under subsections and making available under paragraph to be responsibility of applicable manufacturer or distributor of covered drug, device, biological or medical supply reporting under subsection or hospital or other

Index of Sec 1451. ...
(e) ANNUAL REPORT TO CONGRESS. - paragraph (1)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (e) (1)
Automated Concept:

INFORMATION during year ;   Biological or medical supply submitting

Index of Sec 1451. ...
(8) MANUFACTURER OF A COVERED DRUG, DEVICE, BIOLOGICAL, OR MEDICAL SUPPLY.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (8)
Automated Concept:

DISTRIBUTION of covered drug, device, biological or medical supply ;   Conversion, processing, marketing or

Index of Sec 1451. ...
(C) EXCLUSIONS. - paragraph (vii)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (9) (C) (vii)
Automated Concept:

COMPENSATION paid by manufacturer or distributor of covered drug, device, biological or medical supply to covered recipient directly employed and works solely for manufacturer or distributor  ;  

Index of Sec 1451. ...

Biological or medical supply and term
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(1) APPLICABLE MANUFACTURER; APPLICABLE DISTRIBUTOR.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (1)
Automated Concept:

DRUG, device or medical supply ;   Term applicable manufacturer meaning manufacturer of covered drug, device, biological or medical supply and term applicable distributor meaning distributor of covered

Index of Sec 1451. ...

By-claim or lump sum basis and payment: claim-
Sec 1121. -- Sustainable Growth Rate Reform.
(e) APPLICATION TO ACCOUNTABLE CARE ORGANIZATION PILOT PROGRAM. - paragraph (2)
DIVISION B TITLE I SUBTITLE B PART 1 SEC 1121. (e) (2)
Automated Concept:

ACCOUNT under pilot program ;   Secretary of Health and Human Services applying difference in updating under paragraph on claim-by-claim or lump sum basis and payment to be taken into

Index of Sec 1121. ...

Cancer
Cancer: cervical
Sec 1714. -- State Eligibility Option For Family Planning Services.
(3) LIMITATION ON BENEFITS. - paragraph (B)
DIVISION B TITLE VII SUBTITLE B SEC 1714. (a) (3) (B)
Automated Concept:

CANCER ;   Inserting and medical assistance making available to individual described in subsection to be limited to family planning services and supplies described in section 1905(a)(4)(c) including medical diagnosis and treatment services provided pursuant to family planning service in family planning setting after cervical

Index of Sec 1714. ...

Cancer: colorectal
Sec 1305. -- Coverage And Waiver Of Cost-Sharing For Preventive Services.
(iii) MEDICARE COVERED PREVENTIVE SERVICES. - paragraph (1) - paragraph (B)
Sec 1306. -- Waiver Of Deductible For Colorectal Cancer Screening Tests Regardless Of Coding, Subsequent Diagnosis, Or Ancillary Tissue Removal.
SEC 1306. -- WAIVER OF DEDUCTIBLE FOR COLORECTAL CANCER SCREENING TESTS REGARDLESS OF CODING, SUBSEQUENT DIAGNOSIS, OR ANCILLARY TISSUE REMOVAL.
DIVISION B TITLE III SEC 1306.
Automated Concept:

CANCER screening Tests regardless of coding, subsequent diagnosis or ancillary Tissue removal ;   Sec 1306, waiver of deductible for colorectal

Index of Sec 1306. ...
(a) IN GENERAL.
DIVISION B TITLE III SEC 1306. (a)
Automated Concept:

CANCER screening test regardless of code billed for establishment of diagnosis as result of test or removal of tissue or other matter or other procedure furnished in connection as result ;   Clause of first sentence of subsection applying with respect to colorectal

Index of Sec 1306. ...

Cancer: prostate
Sec 1305. -- Coverage And Waiver Of Cost-Sharing For Preventive Services.
(iii) MEDICARE COVERED PREVENTIVE SERVICES. - paragraph (1) - paragraph (A)

Capital contributions: owner or investor's
Sec 1156. -- Limitation On Medicare Exceptions To The Prohibition On Certain Physician Referrals Made To Hospitals.
(D) ENSURING BONA FIDE OWNERSHIP AND INVESTMENT. - paragraph (v)
DIVISION B TITLE I SUBTITLE C SEC 1156. (a) (5) Quoted: (i) (1) (D) (v)
Automated Concept:

CAPITAL contributions making at time ownership or investment interest obtained ;   Investment interest of owner or investor being directly proportional to owner or investor's

Index of Sec 1156. ...

Capitaliations: minimum
Sec 1412. -- Accountability Requirements.
(1) IN GENERAL. - paragraph (C)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (c) (1) (C)
Automated Concept:

CAPITALIATIONS ;   Requirements relating to surety bonds, liability insurance or minimum

Index of Sec 1412. ...

Capitation model: partial
Sec 1301. -- Accountable Care Organization Pilot Program.
(A) IN GENERAL.
DIVISION B TITLE III SEC 1301. Quoted: SEC 1866D. (c) (2) (A)
Automated Concept:

CAPITATION model to ACOS highly integrated systems of care and ACOS capable of bearing risk as determined to be appropriate by Secretary ;   Risk physicians' services or items and services under part B Secretary limiting partial

Index of Sec 1301. ...
(B) NO ADDITIONAL PROGRAM EXPENDITURES.
DIVISION B TITLE III SEC 1301. Quoted: SEC 1866D. (c) (2) (B)
Automated Concept:

CAPITATION model to be established in manner not resulting in spending more for ACO for beneficiaries ;   Payments to qualifying ACO for applicable beneficiaries for year under partial

Index of Sec 1301. ...

Capitation rates
Sec 1161. -- Phase-In Of Payment Based On Fee-For-Service Costs.
(2) SPECIFIED AMOUNT.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1161. (2) Quoted: (n) (2)
Automated Concept:

CAPITATION rates described in subsection ;   Indirect costs of medical education from

Index of Sec 1161. ...

Catheterizations
Sec 1156. -- Limitation On Medicare Exceptions To The Prohibition On Certain Physician Referrals Made To Hospitals.
(F) PROCEDURE ROOMS.
DIVISION B TITLE I SUBTITLE C SEC 1156. (a) (5) Quoted: (i) (2) (F)
Automated Concept:

ANGIOGRAPHIES, angiograms and endoscopies furnished ;   Term procedure rooms including rooms in which catheterizations,

Index of Sec 1156. ...

Certification
Sec 1639. -- Face To Face Encounter With Patient Required Before Physicians May Certify Eligibility For Home Health Services Or Durable Medical Equipment Under Medicare.
(1) PART A. - paragraph (B)
DIVISION B TITLE VI SUBTITLE C SEC 1639. (a) (1) (B)
Automated Concept:

CERTIFICATION or other reasonable timeframe as determined by Secretary ;   Prior to making certification physician documenting that physician having face-to-face encounter with individual during 6-month period preceding

Index of Sec 1639. ...
(2) PART B. - paragraph (B)
DIVISION B TITLE VI SUBTITLE C SEC 1639. (a) (2) (B)
Automated Concept:

CERTIFICATION or recertification or other reasonable timeframe as determined by Secretary ;   2010 prior to making certification physician documenting that physician having face-to-face encounter with individual during 6-month period preceding

Index of Sec 1639. ...

Certification of program
Sec 1614. -- Enhanced Hospice Program Safeguards.
(a) IN GENERAL. - paragraph (1)
DIVISION B TITLE VI SUBTITLE B SEC 1614. (a) Quoted: SEC 1819A. (a) (1)
Automated Concept:

CERTIFICATION of program and providing for 1 or more of other remedies described in subsection ;   Secretary taking immediate action to remove jeopardy and correct deficiencies through remedy specified in subsection or terminating

Index of Sec 1614. ...
(a) IN GENERAL. - paragraph (2) - paragraph (A)

Certification: review and
Sec 1302. -- Medical Home Pilot Program.
(2) STANDARD SETTING AND QUALIFICATION PROCESS FOR PATIENT-CENTERED MEDICAL HOMES. - paragraph (B)
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (c) (2) (B)
Automated Concept:

CERTIFICATION of medical practices as meeting standards ;   Initially providing for review and

Index of Sec 1302. ...

Certification: survey or
Sec 1413. -- Nursing Home Compare Medicare Website.
(E) SUBMISSION OF SURVEY AND CERTIFICATION INFORMATION TO THE SECRETARY.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (a) (2) (A) Quoted: (E)
Automated Concept:

CERTIFICATION making respecting skilled nursing facility to Secretary not later than date on which State sending information to facility ;   State submitting information respecting survey or

Index of Sec 1413. ...
(E) SUBMISSION OF SURVEY AND CERTIFICATION INFORMATION TO THE SECRETARY.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (b) (2) (A) Quoted: (E)
Automated Concept:

CERTIFICATION making respecting nursing facility to Secretary not later than date on which State sending information to facility ;   State submitting information respecting survey or

Index of Sec 1413. ...

Certification: written
Sec 1401. -- Comparative Effectiveness Research.
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (B)
Automated Concept:

CERTIFICATION as referred in section 208(b)(3) of title 18, United States Code or waiver as referred in subparagraph for service on Commission at meeting of Commission ;   Written

Index of Sec 1401. ...

Certifications
Sec 1638. -- Requirement For Physicians To Provide Documentation On Referrals To Programs At High Risk Of Waste And Abuse.
(a) PHYSICIANS AND OTHER SUPPLIERS. - paragraph (10)
DIVISION B TITLE VI SUBTITLE C SEC 1638. (a) Quoted: (10)
Automated Concept:

CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by physician or supplier under title as specified by Secretary ;   Physician or supplier under section 1866(j) if physician or supplier failing to maintain and provide access to documentation relating to written orders or requests for payment for durable medical equipment,

Index of Sec 1638. ...
(b) PROVIDERS OF SERVICES. - paragraph (3) - paragraph (X)
DIVISION B TITLE VI SUBTITLE C SEC 1638. (b) (3) Quoted: (X)
Automated Concept:

CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by provider under title as specified by Secretary ;   Maintaining and providing access to documentation relating to written orders or requests for payment for durable medical equipment,

Index of Sec 1638. ...
(d) EFFECTIVE DATE.
DIVISION B TITLE VI SUBTITLE C SEC 1638. (d)
Automated Concept:

CERTIFICATIONS and referrals making after January 1 ;   Amendments making by section applying to orders,

Index of Sec 1638. ...
Sec 1639. -- Face To Face Encounter With Patient Required Before Physicians May Certify Eligibility For Home Health Services Or Durable Medical Equipment Under Medicare.
(d) APPLICATION TO MEDICAID AND CHIP.
DIVISION B TITLE VI SUBTITLE C SEC 1639. (d)
Automated Concept:

CERTIFICATIONS under title XVIII of Act ;   Same manner and same extent as requirements applying in case of physicians making

Index of Sec 1639. ...

Certifications and complaint investigations
Sec 1413. -- Nursing Home Compare Medicare Website.
(D) AVAILABILITY OF SURVEY, CERTIFICATION, AND COMPLAINT INVESTIGATION REPORTS. - paragraph (i)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (c) (1) Quoted: (D) (i)
Automated Concept:

CERTIFICATIONS and complaint investigations making respecting facility during 3 preceding years available for individual to review upon request ;   Reports with respect to surveys,

Index of Sec 1413. ...
(D) AVAILABILITY OF SURVEY, CERTIFICATION, AND COMPLAINT INVESTIGATION REPORTS. - paragraph (i)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (c) (2) Quoted: (D) (i)
Automated Concept:

CERTIFICATIONS and complaint investigations making respecting facility during 3 preceding years available for individual to review upon request ;   Reports with respect to surveys,

Index of Sec 1413. ...

Certification: written orders and
Sec 1637. -- Physicians Who Order Durable Medical Equipment Or Home Health Services Required To Be Medicare Enrolled Physicians Or Eligible Professionals.
(d) EFFECTIVE DATE.
DIVISION B TITLE VI SUBTITLE C SEC 1637. (d)
Automated Concept:

CERTIFICATIONS making after July 1 ;   Amendments making by section applying to written orders and

Index of Sec 1637. ...

Certification agency: State survey and
Sec 1415. -- Standardized Complaint Form.
(9) STANDARDIZED COMPLAINT FORM.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (a) (1) Quoted: (9)
Automated Concept:

CERTIFICATION agency and State long-term care ombudsman program with respect to skilled nursing facility ;   Secretary developing standardized complaint form for use by resident in filing complaint with State survey and

Index of Sec 1415. ...
(11) STANDARDIZED COMPLAINT FORM.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (b) (1) Quoted: (11)
Automated Concept:

CERTIFICATION agency and State long-term care ombudsman program with respect to nursing facility ;   Secretary developing standardized complaint form for use by resident in filing complaint with State survey and

Index of Sec 1415. ...

Certification programs: State survey and
Sec 1413. -- Nursing Home Compare Medicare Website.
(A) IN GENERAL. - paragraph (iv)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (a) (1) (B) Quoted: (i) (1) (A) (iv)
Automated Concept:

CERTIFICATION programs ;   Links to State Internet websites with information regarding State survey and

Index of Sec 1413. ...
(A) IN GENERAL. - paragraph (ii)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (b) (1) (B) Quoted: (i) (1) (A) (ii)
Automated Concept:

CERTIFICATION programs ;   Links to State Internet websites with information regarding State survey and

Index of Sec 1413. ...

Charity care: provision of
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(C) EXCLUSIONS. - paragraph (v)

Child
Sec 1904. -- Grants To States For Quality Home Visitation Programs For Families With Young Children And Families Expecting Children.
(3) ASSURANCES. - paragraph (C)
DIVISION B TITLE IX SEC 1904. Quoted: SUBPART 3 SEC 440. (b) (3) (C)
Automated Concept:

HEALTH services, income supports and other related assistance ;   State promoting coordination and collaboration with other home visitation programs and other child and family services,

Index of Sec 1904. ...

Child and parent outcomes
Sec 1904. -- Grants To States For Quality Home Visitation Programs For Families With Young Children And Families Expecting Children.
(1) IN GENERAL. - paragraph (A)
DIVISION B TITLE IX SEC 1904. Quoted: SUBPART 3 SEC 440. (j) (1) (A)
Automated Concept:

CHILD maltreatment ;   Effect of home visitation programs on child and parent outcomes including

Index of Sec 1904. ...

Child health
Child health and development
Sec 1904. -- Grants To States For Quality Home Visitation Programs For Families With Young Children And Families Expecting Children.
(1) IN GENERAL. - paragraph (A) - paragraph (i)
DIVISION B TITLE IX SEC 1904. Quoted: SUBPART 3 SEC 440. (f) (1) (A) (i)
Automated Concept:

CHILD health and development ;   Reducing abuse and neglect and improving

Index of Sec 1904. ...

Child health: maternal or
Sec 1713. -- Optional Coverage Of Nurse Home Visitation Services.
(a) IN GENERAL. - paragraph (2) - paragraph (aa) - paragraph (1)
DIVISION B TITLE VII SUBTITLE B SEC 1713. (a) (2) Quoted: (aa) (1)
Automated Concept:

CHILD health and pregnancy outcomes or increasing birth intervals between pregnancies ;   Improving maternal or

Index of Sec 1713. ...

Child health assistance
Sec 1713. -- Optional Coverage Of Nurse Home Visitation Services.
(c) CONSTRUCTION.
DIVISION B TITLE VII SUBTITLE B SEC 1713. (c)
Automated Concept:

ADMINISTRATIVE expenditure For which payment being made under section 1903(a) or 2105(a) of Act after date of enactment of Act ;   Nothing in amendments making by section to be construed as affecting ability of State under title XIX or XXI of Social Security Act to provide nurse home visitation services as part of another class of items and services falling within definition of medical assistance or child health assistance under respective title or

Index of Sec 1713. ...
Sec 1733. -- Requirement Of 12-Month Continuous Coverage Under Certain Chip Programs.
(6) REQUIREMENT FOR 12-MONTH CONTINUOUS ELIGIBILITY.
DIVISION B TITLE VII SUBTITLE D SEC 1733. (a) Quoted: (6)
Automated Concept:

CHILD health assistance under title through means other than described in section 2101(a)(2) ;   Case of State child health plan providing

Index of Sec 1733. ...

Child health assistance or pregnancy
Sec 1703. -- Chip And Medicaid Maintenance Of Effort.
(3) CHIP MOE TERMINATION DATE. - paragraph (B)
DIVISION B TITLE VII SUBTITLE A SEC 1703. (a) (2) Quoted: (gg) (3) (B)
Automated Concept:

CHILD health assistance or pregnancy-related assistance under State child health plan referred in paragraph ;   Eligible for

Index of Sec 1703. ...

Child health plan
Sec 1631. -- Enhanced Cms Program Protection Authority.
(1) IN GENERAL. - paragraph (C)
DIVISION B TITLE VI SUBTITLE C SEC 1631. (a) Quoted: SEC 1128G. (a) (1) (C)
Automated Concept:

CHILD health plan under title XXI ;   Applying subsection for purposes of title XIX and XXI Secretary requiring State to carry out provisions of subsection as requirement of State plan under title XIX or

Index of Sec 1631. ...
(d) PROGRAM INTEGRITY.
DIVISION B TITLE VI SUBTITLE C SEC 1631. (b) (2) Quoted: (d)
Automated Concept:

CHILD health plan including description of procedures to be used by State ;   State

Index of Sec 1631. ...
Sec 1703. -- Chip And Medicaid Maintenance Of Effort.
(1) IN GENERAL.
DIVISION B TITLE VII SUBTITLE A SEC 1703. (a) (2) Quoted: (gg) (1)
Automated Concept:

CHILD health plan under title XXI being more restrictive than eligibility standards, methodologies or procedures under plan as in effect on June 16 ;   Subject to paragraph State not in effect eligibility standards, methodologies or procedures under State

Index of Sec 1703. ...
(2) LIMITATION.
DIVISION B TITLE VII SUBTITLE A SEC 1703. (a) (2) Quoted: (gg) (2)
Automated Concept:

CHILD health plan under title XXI ;   Paragraph not to be construed as preventing State from imposing limitation described in section 2110(b)(5)(c)(i) for fiscal year in order to limit expenditures under State

Index of Sec 1703. ...
(3) CHIP MOE TERMINATION DATE. - paragraph (B)
DIVISION B TITLE VII SUBTITLE A SEC 1703. (a) (2) Quoted: (gg) (3) (B)
Automated Concept:

CHILD health plan referred in paragraph ;   Eligible for child health assistance or pregnancy-related assistance under State

Index of Sec 1703. ...
Sec 1733. -- Requirement Of 12-Month Continuous Coverage Under Certain Chip Programs.
(6) REQUIREMENT FOR 12-MONTH CONTINUOUS ELIGIBILITY.
DIVISION B TITLE VII SUBTITLE D SEC 1733. (a) Quoted: (6)
Automated Concept:

CHILD health assistance under title through means other than described in section 2101(a)(2) ;   Case of State child health plan providing

Index of Sec 1733. ...
Sec 1756. -- Termination Of Provider Participation Under Medicaid And Chip If Terminated Under Medicare Or Other State Plan Or Child Health Plan.
SEC 1756. -- TERMINATION OF PROVIDER PARTICIPATION UNDER MEDICAID AND CHIP IF TERMINATED UNDER MEDICARE OR OTHER STATE PLAN OR CHILD HEALTH PLAN.
DIVISION B TITLE VII SUBTITLE F SEC 1756.
Automated Concept:

CHILD health Plan ;   Sec 1756, termination of Provider participation under medicaid and Chip if terminated under medicare or other State Plan or

Index of Sec 1756. ...
(c) EFFECTIVE DATE. - paragraph (2)
DIVISION B TITLE VII SUBTITLE F SEC 1756. (c) (2)
Automated Concept:

CHILD health plan not to be regarded as failing to comply with requirements of title solely on basis of failure to meet additional requirement before first day of first calendar quarter beginning after close of first regular session of State legislature begining after date of enactment of Act for purposes of previous sentence in case of State having 2-year legislative session ;   State plan or

Index of Sec 1756. ...
Sec 1757. -- Medicaid And Chip Exclusion From Participation Relating To Certain Ownership, Control, And Management Affiliations.
(c) EFFECTIVE DATE. - paragraph (2)
DIVISION B TITLE VII SUBTITLE F SEC 1757. (c) (2)
Automated Concept:

CHILD health plan not to be regarded as failing to comply with requirements of title solely on basis of failure to meet additional requirement before first day of first calendar quarter beginning after close of first regular session of State legislature begining after date of enactment of Act for purposes of previous sentence in case of State having 2-year legislative session ;   State plan or

Index of Sec 1757. ...
Sec 1759. -- Billing Agents, Clearinghouses, Or Other Alternate Payees Required To Register Under Medicaid.
(c) EFFECTIVE DATE. - paragraph (2)
DIVISION B TITLE VII SUBTITLE F SEC 1759. (c) (2)
Automated Concept:

CHILD health plan not to be regarded as failing to comply with requirements of title solely on basis of failure to meet additional requirement before first day of first calendar quarter beginning after close of first regular session of State legislature begining after date of enactment of Act for purposes of previous sentence in case of State having 2-year legislative session ;   State plan or

Index of Sec 1759. ...

Child involvement: maternal and
Sec 1713. -- Optional Coverage Of Nurse Home Visitation Services.
(a) IN GENERAL. - paragraph (2) - paragraph (aa) - paragraph (2)
DIVISION B TITLE VII SUBTITLE B SEC 1713. (a) (2) Quoted: (aa) (2)
Automated Concept:

CHILD involvement in criminal justice system ;   Improving family stability or reducing maternal and

Index of Sec 1713. ...

Child maltreatment
Sec 1904. -- Grants To States For Quality Home Visitation Programs For Families With Young Children And Families Expecting Children.
(3) ASSURANCES. - paragraph (A)
DIVISION B TITLE IX SEC 1904. Quoted: SUBPART 3 SEC 440. (b) (3) (A)
Automated Concept:

CHILD maltreatment ;   Identify and prioritizing serving communities in high need of services, especially communities with high proportion of low-income families or high incidence of

Index of Sec 1904. ...
(1) IN GENERAL. - paragraph (A)
DIVISION B TITLE IX SEC 1904. Quoted: SUBPART 3 SEC 440. (j) (1) (A)
Automated Concept:

CHILD maltreatment ;   Effect of home visitation programs on child and parent outcomes including

Index of Sec 1904. ...

Child's enrollment: necessary transitional care
Sec 1722. -- Medical Home Pilot Program.
(d) MEDICALLY FRAGILE CHILDREN.
DIVISION B TITLE VII SUBTITLE C SEC 1722. (d)
Automated Concept:

CHILD'S enrollment ceasing for reason ;   Model ensuring that patient-centered medical home services received by child providing for continuous involvement and education of parent or caregiver and assistance to child in obtaining necessary transitional care if

Index of Sec 1722. ...

Chronic
Sec 1233. -- Advance Care Planning Consultation.
(3) - paragraph (B)
DIVISION B TITLE II SUBTITLE C SEC 1233. (a) (1) (B) Quoted: (hhh) (3) (B)
Automated Concept:

HEALTH condition of individual including diagnosis of chronic ;   Significant change in

Index of Sec 1233. ...

Chronic or co-morbid conditions
Sec 1167. -- Improving Risk Adjustment For Payments.
(a) REPORT TO CONGRESS.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1167. (a)
Automated Concept:

INCOME beneficiaries ;   Secretary of Health and Human Services submitting to Congress report evaluating adequacy of risk adjustment system under section 1853(a)(1)(c) of Social Security Act 42 USC 1395-23(a)(1)(c) in predicting costs for beneficiaries with chronic or co-morbid conditions, beneficiaries dually-eligible for Medicare and Medicaid and non-Medicaid eligible low-

Index of Sec 1167. ...

Chronic conditions
Sec 1302. -- Medical Home Pilot Program.
(3) PRINCIPAL CARE.
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (b) (3)
Automated Concept:

CHRONIC conditions requiring subspecialist's expertise subspecialist assuming care management ;   Accessible health care provided by physician being medical subspecialist addressing majority of personal health care needs of patients with

Index of Sec 1302. ...

Chronic diseases
Sec 1162. -- Quality Bonus Payments.
(ii) ESTABLISHMENT OF OUTCOME-BASED MEASURES. - paragraph (IV)
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1162. (a) (2) Quoted: (o) (3) (B) (ii) (IV)
Automated Concept:

CHRONIC diseases ;   Measures of health functioning and survival for patients with

Index of Sec 1162. ...

Chronic diseases: multiple
Sec 1302. -- Medical Home Pilot Program.
(B) COMMUNITY-BASED MEDICAL HOME DEFINED. - paragraph (iii)
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (d) (1) (B) (iii)
Automated Concept:

CHRONIC diseases or help beneficiaries accessing health care and community-based resources in local geographic area ;   Medication therapy management services for patients with multiple

Index of Sec 1302. ...

Chronic illnesses
Sec 1302. -- Medical Home Pilot Program.
(B) COMMUNITY-BASED MEDICAL HOME DEFINED. - paragraph (iii)
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (d) (1) (B) (iii)
Automated Concept:

CHRONIC illnesses, transitional care services, care plan ;   Teaching self-care skills for managing

Index of Sec 1302. ...

Citizenship of parties and jurisdiction: controversy o
Sec 1415. -- Standardized Complaint Form.
(iii) COMMENCEMENT OF ACTION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (a) (2) Quoted: (6) (C) (iii)
Automated Concept:

CITIZENSHIP of parties and jurisdiction to grant complete relief ;   Jurisdiction over action without regard to amount in controversy or

Index of Sec 1415. ...
(iii) COMMENCEMENT OF ACTION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (b) (2) Quoted: (8) (C) (iii)
Automated Concept:

CITIZENSHIP of parties and jurisdiction to grant complete relief ;   Jurisdiction over action without regard to amount in controversy or

Index of Sec 1415. ...

Civil
Civil and administrative violations
Sec 1412. -- Accountability Requirements.
(i) REQUIREMENT.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (i)
Automated Concept:

ADMINISTRATIVE violations under Act and promoting quality of care consistent with regulations developed under clause ;   Skilled nursing facility in operation compliance and ethics program being effective in preventing and detecting criminal, civil and

Index of Sec 1412. ...
(iii) REQUIREMENTS FOR COMPLIANCE AND ETHICS PROGRAMS. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iii) (I)
Automated Concept:

ADMINISTRATIVE violations under Act and promoting quality of care ;   Effective in preventing and detecting criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (I)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Organization to have established compliance standards and procedures to be followed by employees, contractors and other agents being reasonably capable of reducing prospect of criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (III)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (III)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Propensity to engage in criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (V)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (V)
Automated Concept:

ADMINISTRATIVE violations under Act by employees and other agents and place and publicizing reporting system whereby employees and other agents reporting violations by others within organization without fear of retribution ;   Utilizing monitoring and auditing systems reasonably designed to detect criminal, civil and

Index of Sec 1412. ...
(i) REQUIREMENT.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (i)
Automated Concept:

ADMINISTRATIVE violations under Act and promoting quality of care consistent with regulations developed under clause ;   Nursing facility in operation compliance and ethics program being effective in preventing and detecting criminal, civil and

Index of Sec 1412. ...
(iii) REQUIREMENTS FOR COMPLIANCE AND ETHICS PROGRAMS. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iii) (I)
Automated Concept:

ADMINISTRATIVE violations under Act and promoting quality of care ;   Effective in preventing and detecting criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (I)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Organization to have established compliance standards and procedures to be followed by employees and other agents being reasonably capable of reducing prospect of criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (III)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (III)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Propensity to engage in criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (V)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (V)
Automated Concept:

ADMINISTRATIVE violations under Act by employees and other agents and place and publicizing reporting system whereby employees and other agents reporting violations by others within organization without fear of retribution ;   Utilizing monitoring and auditing systems reasonably designed to detect criminal, civil and

Index of Sec 1412. ...

Civil or administrative
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(2) NO PREEMPTION OF ADDITIONAL REQUIREMENTS. - paragraph (C)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (h) (2) (C)
Automated Concept:

ADMINISTRATIVE proceeding ;   Discovery or admissibility of information described in section in criminal, civil or

Index of Sec 1451. ...

Civil or criminal sanctions
Sec 1641. -- Required Repayments Of Medicare And Medicaid Overpayments.
(3) CLARIFICATION.
DIVISION B TITLE VI SUBTITLE C SEC 1641. Quoted: (c) (3)
Automated Concept:

CRIMINAL sanctions involving same claim if determined later ;   Applicable interests, fines and specialties or civil or

Index of Sec 1641. ...

Civil money penalty
Civil money penaltyes
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(A) IN GENERAL.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (d) (1) (A)
Automated Concept:

CIVIL money penalties under subsection of section 1128a imposed and collected under section ;   Penalty to be imposed and collected in same manner as

Index of Sec 1451. ...
(B) LIMITATION.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (d) (1) (B)
Automated Concept:

CIVIL money penalties imposed under subparagraph with respect to annual submission of information under subsection by applicable manufacturer or distributor or other entity not exceeding $150,000 ;   Total amount of

Index of Sec 1451. ...
(A) IN GENERAL.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (d) (2) (A)
Automated Concept:

CIVIL money penalties under subsection of section 1128a imposed and collected under section ;   Penalty to be imposed and collected in same manner as

Index of Sec 1451. ...
(B) LIMITATION.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (d) (2) (B)
Automated Concept:

CIVIL money penalties imposed under subparagraph with respect to annual submission of information under subsection or applicable manufacturer, distributor or entity not exceeding $1,000,000 or greater ;   Total amount of

Index of Sec 1451. ...
Sec 1614. -- Enhanced Hospice Program Safeguards.
(A) IN GENERAL. - paragraph (i)
DIVISION B TITLE VI SUBTITLE B SEC 1614. (a) Quoted: SEC 1819A. (b) (2) (A) (i)
Automated Concept:

CIVIL money penalties in amount not to exceed $10,000 for day of noncompliance or not to exceed $25,000  ;  

Index of Sec 1614. ...

Sec 1156. -- Limitation On Medicare Exceptions To The Prohibition On Certain Physician Referrals Made To Hospitals.
(C) APPLICATION.
DIVISION B TITLE I SUBTITLE C SEC 1156. (a) (4) Quoted: (5) (C)
Automated Concept:

CIVIL money penalty under subparagraphs and same manner as provisions applying to penalty or proceeding under section 1128a(a) ;   Provisions of section 1128a and other than subsection applying to

Index of Sec 1156. ...
Sec 1181. -- Elimination Of Coverage Gap.
(F) PENALTIES FOR FAILURE TO PROVIDE TIMELY INFORMATION AND PROVISION OF FALSE INFORMATION. - paragraph (ii)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (2) (A) Quoted: (7) (F) (ii)
Automated Concept:

CIVIL money penalty under subparagraph in same manner as provisions applying to penalty or proceeding under section 1128a(a) ;   Applying to

Index of Sec 1181. ...
Sec 1421. -- Civil Money Penalties.
(VII) COLLECTION OF CIVIL MONEY PENALTIES.
(VIII) PROCEDURE.
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (a) (1) Quoted: (ii) (VIII)
Automated Concept:

CIVIL money penalty under clause in same manner as provisions applying to penalty or proceeding under section 1128a(a) ;   Provisions requiring hearing prior to imposition of civil money penalty applying to

Index of Sec 1421. ...
(iv) COLLECTION OF CIVIL MONEY PENALTIES.
(I) AMOUNT.
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (2) (A) Quoted: (ii) (I)
Automated Concept:

CIVIL money penalty in amount not to exceed $10,000 for daying or instance of noncompliance ;   Secretary imposing

Index of Sec 1421. ...
(IV) COLLECTION OF CIVIL MONEY PENALTIES.
(V) PROCEDURE.
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (2) (A) Quoted: (ii) (V)
Automated Concept:

CIVIL money penalty applying to civil money penalty under clause in same manner as provisions applying to penalty or proceeding under section 1128a(a) ;   Provisions requiring hearing prior to imposition of

Index of Sec 1421. ...
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(A) IN GENERAL.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (d) (1) (A)
Automated Concept:

CIVIL money penalty of not less than $1,000 but not more than $10,000 for payment or other transfer of value or ownership or investment interest not reported as required under subsection ;   Applicable manufacturer or distributor failing to submit information required under subsection in timely manner in accordance with regulations promulgated to carry out subsection and hospital or other entity failing to submit information required under subsection in timely manner in accordance with regulations promulgated to carry out subsection to be subject to

Index of Sec 1451. ...
(3) USE OF FUNDS.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (d) (3)
Automated Concept:

CIVIL money penalty under subsection to be used to carry out that section ;   Funds collected by Secretary as result of imposition of

Index of Sec 1451. ...
Sec 1614. -- Enhanced Hospice Program Safeguards.
(A) IN GENERAL. - paragraph (v)
DIVISION B TITLE VI SUBTITLE B SEC 1614. (a) Quoted: SEC 1819A. (b) (2) (A) (v)
Automated Concept:

CIVIL money penalty under clause in same manner as provisions applying to penalty or proceeding under section 1128a(a) ;   Applying to

Index of Sec 1614. ...

Civil money penalty and placement of amounts
Sec 1421. -- Civil Money Penalties.
(VII) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (cc)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (a) (1) Quoted: (ii) (VII) (cc)
Automated Concept:

ACCOUNT under direction of Secretary on earlier of date on which informal dispute resolution process under item completed or date being 90 days after date of imposition of penalty ;   Providing for collection of civil money penalty and placement of amounts collected in escrow

Index of Sec 1421. ...
(iv) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (III)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (1) (A) (ii) Quoted: (G) (iv) (III)
Automated Concept:

ACCOUNT under direction of State on earlier of date on which informal dispute resolution process under subclause completed or date being 90 days after date of imposition of penalty ;   Providing for collection of civil money penalty and placement of amounts collected in escrow

Index of Sec 1421. ...
(IV) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (cc)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (2) (A) Quoted: (ii) (IV) (cc)
Automated Concept:

ACCOUNT under direction of Secretary on earlier of date on which informal dispute resolution process under item completed or date being 90 days after date of imposition of penalty ;   Providing for collection of civil money penalty and placement of amounts collected in escrow

Index of Sec 1421. ...

Classifiations groups: ambulatory payment
Sec 1145. -- Treatment Of Certain Cancer Hospitals.
(A) STUDY.
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1145. Quoted: (18) (A)
Automated Concept:

CLASSIFIATIONS groups exceeding costs incurred by other hospitals furnishing services under subsection ;   Secretary conducting study to determine if costs incurred by hospitals described in section 1886(d)(1)(b)(v) with respect to ambulatory payment

Index of Sec 1145. ...

Classifiations system
Sec 1111. -- Payments To Skilled Nursing Facilities.
(D) IMPLEMENTATION.
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1111. (b) (2) (D)
Automated Concept:

CLASSIFIATIONS system as Secretary determining appropriate based on analysis conducted pursuant to subparagraph ;   Secretary implementing changes to payments for non-therapy ancillary services under future skilled nursing facility servicing

Index of Sec 1111. ...
(E) BUDGET NEUTRALITY.
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1111. (b) (2) (E)
Automated Concept:

CLASSIFIATIONS system for yearing without changes ;   Estimated expenditures under future skilled nursing facility servicing classifiations system for fiscal year beginning with fiscal year 2011 with changes to be equal to estimated expenditures otherwise occurring under title XVIII of Social Security Act under future skilled nursing facility servicing

Index of Sec 1111. ...

Classifiations system: alternative case mix
Sec 1111. -- Payments To Skilled Nursing Facilities.
(B) EFFECTIVE DATE.
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1111. (b) (1) (B)
Automated Concept:

CLASSIFIATIONS system for payment of skilled nursing facility services under section 1888(e) of Social Security Act 42 USC 1395yy(e) ;   Changes in payment described in subparagraph applying for days after January 1, 2010 and Secretary implementing alternative case mix

Index of Sec 1111. ...

Classifiations system: future skilled nursing facility
Sec 1111. -- Payments To Skilled Nursing Facilities.
(i) IN GENERAL.
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1111. (b) (2) (A) (i)
Automated Concept:

CLASSIFIATIONS system to ensure accuracy of payment for non-therapy ancillary services ;   Secretary of Health and Human Services analyzing payments for non-therapy ancillary services under future skilled nursing facility

Index of Sec 1111. ...
(ii) APPLICATION.
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1111. (b) (2) (A) (ii)
Automated Concept:

CLASSIFIATIONS system implemented to apply to services furnished during fiscal year beginning with fiscal year 2011 ;   Future skilled nursing facility

Index of Sec 1111. ...

Clinical
Sec 1124. -- Modifications To The Physician Quality Reporting Initiative (Pqri).
(7) INTEGRATION OF PHYSICIAN QUALITY REPORTING AND EHR REPORTING.
DIVISION B TITLE I SUBTITLE B PART 1 SEC 1124. (c) Quoted: (7)
Automated Concept:

HEALTH records ;   2012 Secretary developing plan to integrate clinical reporting on quality measures under subsection with reporting requirements under subsection relating to meaningful use of electronic

Index of Sec 1124. ...
Sec 1411. -- Required Disclosure Of Ownership And Additional Disclosable Parties Information.
(A) ADDITIONAL DISCLOSABLE PARTY. - paragraph (iv)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1411. (a) Quoted: (c) (6) (A) (iv)
Automated Concept:

ACCOUNTING or financial services to facility ;   Providing management or administrative services, clinical consulting services or

Index of Sec 1411. ...

Clinical: appropriate
Sec 1222. -- Demonstration To Promote Access For Medicare Beneficiaries With Limited English Proficiency By Providing Reimbursement For Culturally And Linguistically Appropriate Services.
(d) ASSURANCES. - paragraph (1)
DIVISION B TITLE II SUBTITLE B SEC 1222. (d) (1)
Automated Concept:

EDUCATION and training in linguistically appropriate service delivery ;   Ensuring that appropriate clinical and support staff receiving ongoing

Index of Sec 1222. ...

Clinical care
Sec 1401. -- Comparative Effectiveness Research.
(ii) DIVERSE REPRESENTATION OF HEALTH CARE COMMUNITY. - paragraph (IV)

Clinical decision support
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (e) (1)
Automated Concept:

CLINICAL decision support, appropriate professional associations and Federal and private health plans and other relevant stakeholders ;   Center providing for dissemination of appropriate findings produced by research supported, conducted or synthesized under section to health care providers, patients, vendors of health information technology focused on

Index of Sec 1401. ...
(1) DISSEMINATION. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (e) (1) (E)
Automated Concept:

CLINICAL decision support to promote timely incorporation of findings into clinical practices and promoting ease of use of incorpoations ;   Assisting users of health information technology focused on

Index of Sec 1401. ...

Clinical effectiveness research data networks
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (a) (2) (E)
Automated Concept:

CLINICAL effectiveness research data networks from electronic health records, post marketing drug and medical device surveillance efforts and other forms of electronic health data ;   Encouraging development and use of clinical registries and development of

Index of Sec 1401. ...

Clinical investigation
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(5) DELAYED REPORTING FOR PAYMENTS MADE PURSUANT TO CLINICAL INVESTIGATIONS.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (a) (5)
Automated Concept:

CLINICAL investigation regarding new drug ;   Case of payment or other transfer of value making to covered recipient by applicable manufacturer or distributor in connection with

Index of Sec 1451. ...
(5) DELAYED REPORTING FOR PAYMENTS MADE PURSUANT TO CLINICAL INVESTIGATIONS. - paragraph (A)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (a) (5) (A)
Automated Concept:

CLINICAL investigation registered on website maintained by National Institutes of Health pursuant to section 671 of Food and drugging Administration Amendments acting of 2007  ;  

Index of Sec 1451. ...
(2) CLINICAL INVESTIGATION.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (2)
Automated Concept:

CLINICAL investigation meaning experiment involving one or more human subjects or materials derived from human subjects in which drug or device administered, dispensed or used ;   Term

Index of Sec 1451. ...

Clinical investigations
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(5) DELAYED REPORTING FOR PAYMENTS MADE PURSUANT TO CLINICAL INVESTIGATIONS.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (a) (5)
Automated Concept:

CLINICAL investigations ;   Delaying reporting for payments making PURSUANT to

Index of Sec 1451. ...

Clinical outcomes
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (H)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (2) (H)
Automated Concept:

CLINICAL outcomes for specific research inquiry to be examined with respect to priority to ensure that information produced from research being clinically relevant to decisions making by clinicians and patients at point of care ;   Consulting with patients and advising Center on research questions, methods and evidence gaps in terms of

Index of Sec 1401. ...

Clinical perspective
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (H)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (2) (H)
Automated Concept:

CLINICAL perspective advisory panel for research priority determined under subparagraph ;   Appointing

Index of Sec 1401. ...
(A) IN GENERAL.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (A)
Automated Concept:

CLINICAL perspective advisory panel described in paragraph ;   Appointing members of Commission or

Index of Sec 1401. ...
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (B)
Automated Concept:

APPOINTMENT ;   Considering appointment to Commission or clinical perspective advisory panel described paragraph Secretary or Commission reviewing expertise of individual and financial disclosure report filed by individual pursuant to Ethics in Government Act of 1978 for individual under consideations for

Index of Sec 1401. ...
(i) DISCLOSURE OF FINANCIAL INTEREST.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (C) (i)
Automated Concept:

CLINICAL perspective advisory panel being full-time Government employee or special Government employee disclosing to Secretary financial interests in accordance with subsection of section 208 ;   Member of Commission or

Index of Sec 1401. ...
(ii) PROHIBITIONS ON PARTICIPATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (C) (ii)
Automated Concept:

CLINICAL perspective advisory panel if member having financial interest to be affected by advice given to Secretary with respect to matter ;   Member of Commission or clinical perspective advisory panel described in paragraph not participating with respect to particular matter considered in meeting of Commission or

Index of Sec 1401. ...
(iii) WAIVER.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (C) (iii)
Automated Concept:

CLINICAL perspective advisory panel described in paragraph 2(h) essential expertise ;   Secretary determining necessary to afford Commission or

Index of Sec 1401. ...
(iii) WAIVER. - paragraph (I)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (C) (iii) (I)
Automated Concept:

CLINICAL perspective advisory panel meeting ;   Participating as non-voting member with respect to particular matter considered in Commission or

Index of Sec 1401. ...
(iii) WAIVER. - paragraph (II)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (C) (iii) (II)
Automated Concept:

CLINICAL perspective advisory panel meeting ;   Participating as voting member with respect to particular matter considered in Commission or

Index of Sec 1401. ...
(II) PROHIBITION ON VOTING STATUS ON CLINICAL PERSPECTIVE ADVISORY PANELS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (C) (iv) (II)
Automated Concept:

CLINICAL perspective advisory panel receiving waiver ;   No more than two nonvoting members of

Index of Sec 1401. ...
(2) USE OF CLINICAL PERSPECTIVE ADVISORY PANELS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (c) (2)
Automated Concept:

CLINICAL perspective advisory panel for national research priority ;   Research meeting national research priority determined under subsection and considering advice given to Center by

Index of Sec 1401. ...

Clinical practices
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (e) (1) (E)
Automated Concept:

CLINICAL practices and promoting ease of use of incorpoations ;   Assisting users of health information technology focused on clinical decision support to promote timely incorporation of findings into

Index of Sec 1401. ...

Clinical quality measures
Sec 1162. -- Quality Bonus Payments.
(iii) RULES FOR SELECTION OF MEASURES. - paragraph (I)
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1162. (a) (2) Quoted: (o) (3) (B) (iii) (I)
Automated Concept:

CLINICAL quality measures endorsed by entity with contract with Secretary under section 1890(a) ;   Secretary providing preference to

Index of Sec 1162. ...

Clinical registries and development
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (a) (2) (E)
Automated Concept:

CLINICAL effectiveness research data networks from electronic health records, post marketing drug and medical device surveillance efforts and other forms of electronic health data ;   Encouraging development and use of clinical registries and development of

Index of Sec 1401. ...

Clinical research
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (a) (2) (B)
Automated Concept:

CLINICAL research including original research conducted subsequent to date of enactment of section ;   Conduct and support systematic reviews of

Index of Sec 1401. ...
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(1) IN GENERAL. - paragraph (F)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (c) (1) (F)
Automated Concept:

CLINICAL research ;   Separately listed information as funding for

Index of Sec 1451. ...

Clinical supervised experience
Sec 1308. -- Coverage Of Marriage And Family Therapist Services And Mental Health Counselor Services.
(jjj) MARRIAGE AND FAMILY THERAPIST SERVICES. - paragraph (2) - paragraph (B)
DIVISION B TITLE III SEC 1308. (a) (2) Quoted: (jjj) (2) (B)
Automated Concept:

MARRIAGE and family therapy ;   Obtaining degree performed 2 years of clinical supervised experience in

Index of Sec 1308. ...

Clinical work and practice expenses
Sec 1302. -- Medical Home Pilot Program.
(D) AMOUNT OF PAYMENT. - paragraph (i)
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (c) (3) (D) (i)
Automated Concept:

CLINICAL work and practice expenses involved in providing medical home services provided by independent patient-centered medical home For which payment being not made under title as of date of enactment of section  ;  

Index of Sec 1302. ...
(D) AMOUNT OF PAYMENT. - paragraph (i)
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (d) (5) (D) (i)
Automated Concept:

CLINICAL work and practice expenses involved in providing medical home services provided by community-based medical home For which payment being not made under title as of date of enactment of section  ;  

Index of Sec 1302. ...

Coding: regardless of
Sec 1306. -- Waiver Of Deductible For Colorectal Cancer Screening Tests Regardless Of Coding, Subsequent Diagnosis, Or Ancillary Tissue Removal.
SEC 1306. -- WAIVER OF DEDUCTIBLE FOR COLORECTAL CANCER SCREENING TESTS REGARDLESS OF CODING, SUBSEQUENT DIAGNOSIS, OR ANCILLARY TISSUE REMOVAL.
DIVISION B TITLE III SEC 1306.
Automated Concept:

CANCER screening Tests regardless of coding, subsequent diagnosis or ancillary Tissue removal ;   Sec 1306, waiver of deductible for colorectal

Index of Sec 1306. ...

Commission
Sec 1617. -- Enhanced Penalties For Medicare Advantage And Part D Marketing Violations.
(a) IN GENERAL. - paragraph (2) - paragraph (J)
DIVISION B TITLE VI SUBTITLE B SEC 1617. (a) (2) Quoted: (J)
Automated Concept:

COMMISSION ;   Transfering individual enrolled under part from one plan to another without prior consent of individual or designee of individual or solely for purpose of earning

Index of Sec 1617. ...

Comparative effectiveness
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (A)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (a) (2) (A)
Automated Concept:

COMPARATIVE effectiveness of full spectrum of health care items, services and systems including pharmaceuticals ;   Conducting, supporting and synthesizing research relevant to

Index of Sec 1401. ...

Comparative effectiveness research
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (B)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (2) (B)
Automated Concept:

COMPARATIVE effectiveness research determined to be national priority under subparagraph ;   Monitoring appropriateness of use of CERTF described in subsection with respect to timely production of

Index of Sec 1401. ...

Comparative effectiveness research: previo
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (I)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (2) (I)
Automated Concept:

COMPARATIVE effectiveness research and studies conducted by Center under subsection ;   Make recommendations for priority for periodic reviews of previous

Index of Sec 1401. ...

Comparative effectiveness studies
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (C)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (a) (2) (C)
Automated Concept:

COMPARATIVE effectiveness studies and using methodologies appropriately ;   Continuously developing rigorous scientific methodologies for conducting

Index of Sec 1401. ...
(C) OMBUDSMAN. - paragraph (ii)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (c) (3) (C) (ii)
Automated Concept:

COMPARATIVE effectiveness studies reviewed by Commission ;   Ensuring that comments from patients regarding proposed

Index of Sec 1401. ...

Compensation
Sec 1401. -- Comparative Effectiveness Research.
(11) DIRECTOR AND STAFF; EXPERTS AND CONSULTANTS. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (11) (E)
Automated Concept:

COMPENSATION ;   Providing transportation and subsistence for persons serving without

Index of Sec 1401. ...
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(B) INCLUSIONS.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (9) (B)
Automated Concept:

COMPENSATION, gift, honorarium, speaking fee, consulting fee, travel, services, dividend, profit distribution, stock or stock option grant or ownership or investment interest holding by physician in manufacturer ;   Term payment or other transfer of value including

Index of Sec 1451. ...
(C) EXCLUSIONS. - paragraph (vii)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (9) (C) (vii)
Automated Concept:

COMPENSATION paid by manufacturer or distributor of covered drug, device, biological or medical supply to covered recipient directly employed and works solely for manufacturer or distributor  ;  

Index of Sec 1451. ...

Compensation arrangements: investment and
Sec 1156. -- Limitation On Medicare Exceptions To The Prohibition On Certain Physician Referrals Made To Hospitals.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE C SEC 1156. (a) (3) Quoted: (f) (1)
Automated Concept:

COMPENSATION arrangements ;   Entity providing covered items or services For which payment to be made under title providing Secretary with information concerning entity's ownership, investment and

Index of Sec 1156. ...

Compliance
Sec 1156. -- Limitation On Medicare Exceptions To The Prohibition On Certain Physician Referrals Made To Hospitals.
(5) CLARIFICATION.
DIVISION B TITLE I SUBTITLE C SEC 1156. (a) (5) Quoted: (i) (5)
Automated Concept:

COMPLIANCE with regulations pursuant to section 1866 ;   Nothing in subsection to be construed as preventing Secretary from terminating hospital's provider agreement if hospital being not in

Index of Sec 1156. ...
(b) VERIFYING COMPLIANCE.
DIVISION B TITLE I SUBTITLE C SEC 1156. (b)
Automated Concept:

COMPLIANCE with requirements ;   Secretary using unannounced site reviews of hospitals and audits to verify

Index of Sec 1156. ...
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(B) DISCOUNT AGREEMENT.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (2) (B)
Automated Concept:

COMPLIANCE ;   Secretary establishing terming and conditioning of agreement including terming and conditions relating to

Index of Sec 1182. ...
Sec 1412. -- Accountability Requirements.
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (V)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (V)
Automated Concept:

COMPLIANCE with standards ;   Organization taking reasonable steps to achieve

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (V)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (V)
Automated Concept:

COMPLIANCE with standards ;   Organization taking reasonable steps to achieve

Index of Sec 1412. ...
Sec 1422. -- National Independent Monitor Pilot Program.
(c) RESPONSIBILITIES OF THE INDEPENDENT MONITOR. - paragraph (1)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1422. (c) (1)
Automated Concept:

COMPLIANCE with State and Federal laws and regulations applicable to facilities ;   Conduct periodic reviews and preparing root-cause quality and deficiency analyses of chain to assess if facilities of chain in

Index of Sec 1422. ...
(c) RESPONSIBILITIES OF THE INDEPENDENT MONITOR. - paragraph (2)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1422. (c) (2)
Automated Concept:

COMPLIANCE by facilities of chain with State and Federal laws and regulations applicable to facilities ;   Publicly holding, involving owners of chain and principal business partners of owners in facilitating

Index of Sec 1422. ...
Sec 1461. -- Requirement For Public Reporting By Hospitals And Ambulatory Surgical Centers On Health Care-Associated Infections.
(c) GAO REPORT.
DIVISION B TITLE IV SUBTITLE E SEC 1461. (c)
Automated Concept:

COMPLIANCE with reporting requirements, success of validity procedures established and conflicting or overlapping between reporting required under sectioning and other reporting systems mandated by States or Federal Government ;   Report including analysis of appropriateness of types of information required for submission,

Index of Sec 1461. ...
Sec 1614. -- Enhanced Hospice Program Safeguards.
(a) IN GENERAL. - paragraph (2) - paragraph (B)
DIVISION B TITLE VI SUBTITLE B SEC 1614. (a) Quoted: SEC 1819A. (a) (2) (B)
Automated Concept:

COMPLIANCE with requirements ;   Secretary determining that hospice program certified for participation under title in

Index of Sec 1614. ...
(A) IN GENERAL. - paragraph (v)
DIVISION B TITLE VI SUBTITLE B SEC 1614. (a) Quoted: SEC 1819A. (b) (2) (A) (v)
Automated Concept:

COMPLIANCE with requirements referred in clause ;   Temporary management under clause not to be terminated until Secretary determining that program having management capability to ensure continued

Index of Sec 1614. ...

Compliance: discussion of Center's
Sec 1401. -- Comparative Effectiveness Research.
(1) ANNUAL REPORTS.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (f) (1)
Automated Concept:

COMPLIANCE with subsection ;   Report including discussion of Center's

Index of Sec 1401. ...

Compliance: plan's
Sec 1162. -- Quality Bonus Payments.
(iv) AUTHORITY TO DISQUALIFY CERTAIN PLANS.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1162. (a) (2) Quoted: (o) (3) (E) (iv)
Automated Concept:

COMPLIANCE with rules for plans under part ;   Secretary determining not to identify Medicare Advantage plan if Secretary identified deficiencies in plan's

Index of Sec 1162. ...

Compliance program
Sec 1635. -- Require Providers And Suppliers To Adopt Programs To Reduce Waste, Fraud, And Abuse.
(1) IN GENERAL.
DIVISION B TITLE VI SUBTITLE C SEC 1635. (a) Quoted: (d) (1)
Automated Concept:

COMPLIANCE program containing core elements established under paragraph ;   Establish

Index of Sec 1635. ...
Sec 1753. -- Require Providers And Suppliers To Adopt Programs To Reduce Waste, Fraud, And Abuse.
SEC 1753. -- REQUIRE PROVIDERS AND SUPPLIERS TO ADOPT PROGRAMS TO REDUCE WASTE, FRAUD, AND ABUSE. - paragraph (3) - paragraph (76)
DIVISION B TITLE VII SUBTITLE F SEC 1753. (3) Quoted: (76)
Automated Concept:

COMPLIANCE program described in paragraph of section in accordance with section ;   Providing that provider or supplier providing services under plan establishing

Index of Sec 1753. ...

Compliance program: model
Sec 1412. -- Accountability Requirements.
(I) IN GENERAL.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (ii) (I)
Automated Concept:

COMPLIANCE program ;   Promulgating regulations for effective compliance and ethics program for operating organizations including model

Index of Sec 1412. ...
(I) IN GENERAL.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (ii) (I)
Automated Concept:

COMPLIANCE program ;   Developing regulations for effective compliance and ethics program for operating organizations including model

Index of Sec 1412. ...

Compliance standards and procedures
Sec 1412. -- Accountability Requirements.
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (I)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Organization to have established compliance standards and procedures to be followed by employees, contractors and other agents being reasonably capable of reducing prospect of criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (I)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Organization to have established compliance standards and procedures to be followed by employees and other agents being reasonably capable of reducing prospect of criminal, civil and

Index of Sec 1412. ...

Confidentiality agreements
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION. - paragraph (D)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (e) (1) (D)
Automated Concept:

CONFIDENTIALITY agreements making with respect to use of data under section ;   Dissemination of which violating privacy of research participants or violating

Index of Sec 1401. ...

Consent: prior
Sec 1617. -- Enhanced Penalties For Medicare Advantage And Part D Marketing Violations.
(a) IN GENERAL. - paragraph (2) - paragraph (J)
DIVISION B TITLE VI SUBTITLE B SEC 1617. (a) (2) Quoted: (J)
Automated Concept:

COMMISSION ;   Transfering individual enrolled under part from one plan to another without prior consent of individual or designee of individual or solely for purpose of earning

Index of Sec 1617. ...

Conspiracy: furtherance of
Sec 1645. -- Conforming Civil Monetary Penalties To False Claims Act Amendments.
SEC 1645. -- CONFORMING CIVIL MONETARY PENALTIES TO FALSE CLAIMS ACT AMENDMENTS. - paragraph (1) - paragraph (E)
DIVISION B TITLE VI SUBTITLE C SEC 1645. (1) (E)
Automated Concept:

CONSPIRACY involved ;   $50,000 for violation described in section committed in furtherance of

Index of Sec 1645. ...
SEC 1645. -- CONFORMING CIVIL MONETARY PENALTIES TO FALSE CLAIMS ACT AMENDMENTS. - paragraph (1) - paragraph (F)
DIVISION B TITLE VI SUBTITLE C SEC 1645. (1) (F)
Automated Concept:

CONSPIRACY involved or cases under paragraph ;   Assessment of not more than 3 timing total amount otherwise applying for violation described in section committed in furtherance of

Index of Sec 1645. ...

Consumer
Sec 1413. -- Nursing Home Compare Medicare Website.
(2) REQUIREMENT. - paragraph (C) - paragraph (D)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (d) (2) (C) Quoted: (D)
Automated Concept:

INFORMATION to consumers regarding skilled nursing facilities and nursing facilities in State forming 2567 State inspection reports ;   State maintaining consumer-oriented website providing useful

Index of Sec 1413. ...

Consumers
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (K)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (2) (K)
Automated Concept:

HEALTH care decisions improving quality and value ;   Make recommendations to center for broad dissemination of findings of research conducted and supported under section enabling clinicians, patients, consumers and payers to make more informed

Index of Sec 1401. ...
(A) IN GENERAL. - paragraph (iii)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (3) (A) (iii)
Automated Concept:

BENEFICIARY programs ;   15 additional members representing broad constituencies of stakeholders including clinicians, patients, researchers, third-party payers, consumers of Federal and State

Index of Sec 1401. ...
Sec 1413. -- Nursing Home Compare Medicare Website.
(A) IN GENERAL. - paragraph (iii)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (a) (1) (B) Quoted: (i) (1) (A) (iii)
Automated Concept:

INFORMATION on staffing turnover and tenure in format being clearly understandable to consumers of long-term care servicing and allowing consumers to compare differences in staffing between facilities and State and national averages for facilities ;   Including

Index of Sec 1413. ...
(A) IN GENERAL. - paragraph (i)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (b) (1) (B) Quoted: (i) (1) (A) (i)
Automated Concept:

INFORMATION on staffing turnover and tenure in format being clearly understandable to consumers of long-term care servicing and allowing consumers to compare differences in staffing between facilities and State and national averages for facilities ;   Including

Index of Sec 1413. ...

Consumers and families
Sec 1233. -- Advance Care Planning Consultation.
(hhh) ADVANCE CARE PLANNING CONSULTATION. - paragraph (1) - paragraph (D)
DIVISION B TITLE II SUBTITLE C SEC 1233. (a) (1) (B) Quoted: (hhh) (1) (D)
Automated Concept:

PLANNING including national toll-free hotline ;   Provision by practitioner of list of national and State-specific resources to assist consumers and families with advance care

Index of Sec 1233. ...

Consumer advocacy groups
Sec 1416. -- Ensuring Staffing Accountability.
(C) SUBMISSION OF STAFFING INFORMATION BASED ON PAYROLL DATA IN A UNIFORM FORMAT.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1416. (a) Quoted: (C)
Automated Concept:

AUDITABLE data in uniform format ;   Beginning not later than 2 years after date of enactment of subparagraph and consulting with State long-term care ombudsman programs, consumer advocacy groups, provider stakeholder groups, employees and representatives and other parties Secretary deeming appropriate Secretary requiring skilled nursing facility electronically to submit to Secretary direct care staffing information based on payroll and other verifiable and

Index of Sec 1416. ...
(C) SUBMISSION OF STAFFING INFORMATION BASED ON PAYROLL DATA IN A UNIFORM FORMAT.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1416. (b) Quoted: (C)
Automated Concept:

AUDITABLE data in uniform format ;   Beginning not later than 2 years after date of enactment of subparagraph and consulting with State long-term care ombudsman programs, consumer advocacy groups, provider stakeholder groups, employees and representatives and other parties Secretary deeming appropriate Secretary requiring nursing facility electronically to submit to Secretary direct care staffing information based on payroll and other verifiable and

Index of Sec 1416. ...

Consumer involvement
Sec 1421. -- Civil Money Penalties.
(VII) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (ff)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (a) (1) Quoted: (ii) (VII) (ff)
Automated Concept:

CONSUMER involvement in assuring quality care in facilities and facility improvement initiatives approved by Secretary ;   Support resident and family councils and other

Index of Sec 1421. ...
(B) CONFORMING AMENDMENT.
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (1) (B)
Automated Concept:

CONSUMER involvement in assuring quality care in facilities and facility improvement initiatives approved by Secretary ;   Support resident and family councils and other

Index of Sec 1421. ...
(IV) COLLECTION OF CIVIL MONEY PENALTIES. - paragraph (ff)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (2) (A) Quoted: (ii) (IV) (ff)
Automated Concept:

CONSUMER involvement in assuring quality care in facilities and facility improvement initiatives approved by Secretary ;   Support resident and family councils and other

Index of Sec 1421. ...

Consumer price index
Sec 1201. -- Improving Assets Tests For Medicare Savings Program And Low-Income Subsidy Program.
(2) ANNUAL INCREASE IN LIS RESOURCE TEST. - paragraph (D) - paragraph (IV)
DIVISION B TITLE II SUBTITLE A SEC 1201. (a) (2) (D) Quoted: (IV)
Automated Concept:

CONSUMER price index as of September of previous year ;   Dollar amounting specified in subclause for previous year increased by annual percentage increase in

Index of Sec 1201. ...

Consumer price index 12-month period
Sec 1802. -- Comparative Effectiveness Research Trust Fund; Financing For Trust Fund.
(ii) DEFAULT AMOUNT. - paragraph (II)
DIVISION B TITLE VIII SEC 1802. (a) (1) Quoted: SEC 9511. (c) (1) (B) (ii) (II)
Automated Concept:

CONSUMER price index for 12-month period ending with April of preceding fiscal year ;   Subsequent year being equal to default amount under clause for preceding fiscal year increased by annual percentage increase in medical care component of

Index of Sec 1802. ...

Contract
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(A) IN GENERAL.
DIVISION B TITLE I SUBTITLE C SEC 1151. (c) (2) (A)
Automated Concept:

CONTRACT under section 1890(a) of Social Security Act but adopting and applying measures under paragraph without ;   Secretary seeking endorsement of measures by entity with

Index of Sec 1151. ...
Sec 1157. -- Institute Of Medicine Study Of Geographic Adjustment Factors Under Medicare.
(a) IN GENERAL.
DIVISION B TITLE I SUBTITLE C SEC 1157. (a)
Automated Concept:

CONTRACT with Institute of Medicine of National Academy of Science to conduct comprehensive empirical study and providing recommendations as appropriate ;   Secretary of Health and Human Services entering into

Index of Sec 1157. ...
Sec 1162. -- Quality Bonus Payments.
(iii) RULES FOR SELECTION OF MEASURES. - paragraph (I)
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1162. (a) (2) Quoted: (o) (3) (B) (iii) (I)
Automated Concept:

CONTRACT with Secretary under section 1890(a) ;   Secretary providing preference to clinical quality measures endorsed by entity with

Index of Sec 1162. ...
Sec 1174. -- Strengthening Audit Authority.
(A) INFORMATION IN CONTRACT.
DIVISION B TITLE I SUBTITLE D PART 2 SEC 1174. (b) (1) Quoted: (5) (A)
Automated Concept:

CONTRACT with Ma organization under section including terms informing organization of provisions in subsection ;   Secretary requiring that

Index of Sec 1174. ...
Sec 1181. -- Elimination Of Coverage Gap.
(A) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (2) (A) Quoted: (7) (A)
Automated Concept:

CONTRACT entered with PDP sponsor under part with respect to prescription drug plan requiring that sponsor complying with subparagraphs  ;  

Index of Sec 1181. ...
Sec 1204. -- Enhanced Oversight Relating To Reimbursements For Retroactive Low Income Subsidy Enrollment.
(i) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (4) (B) (i)
Automated Concept:

CONTRACT ;   Prescription drug plan offered by sponsor of plan awarding

Index of Sec 1204. ...
(ii) RFP CONTRACT DESCRIBED.
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (4) (B) (ii)
Automated Concept:

CONTRACT entered between Secretary and sponsor of prescription drug plan pursuant to Centers for Medicare and Medicaid Services' request for proposals issued on February 17, 2009 relating to Medicare part D retroactive coverage for certain low income beneficiaries ;   Rfp contract described in section being

Index of Sec 1204. ...
Sec 1224. -- Definitions.
(13) SERVICE PROVIDER.
DIVISION B TITLE II SUBTITLE B SEC 1224. (13)
Automated Concept:

CONTRACT to provide coverage, items or services under part of title XVIII of Social Security Act ;   Term service provider including suppliers, providers of services or entities under

Index of Sec 1224. ...
Sec 1415. -- Standardized Complaint Form.
(iii) COMMENCEMENT OF ACTION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (a) (2) Quoted: (6) (C) (iii)
Automated Concept:

CONTRACT for services terminated in violation of clause complaint filed in violation of clause bringing action at law or equity in appropriate district court of United States ;   Person believing person penalized, discriminated or retaliated or

Index of Sec 1415. ...
(iv) RIGHTS NOT WAIVABLE.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (a) (2) Quoted: (6) (C) (iv)
Automated Concept:

CONTRACT or other agreement and nothing in paragraph to be construed to diminish greater or additional protection provided by Federal or State law or contract or other agreement ;   Rights protected by paragraph not to be diminished by

Index of Sec 1415. ...
(iii) COMMENCEMENT OF ACTION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (b) (2) Quoted: (8) (C) (iii)
Automated Concept:

CONTRACT for services terminated in violation of clause complaint filed in violation of clause bringing action at law or equity in appropriate district court of United States ;   Person believing person penalized, discriminated or retaliated or

Index of Sec 1415. ...
(iv) RIGHTS NOT WAIVABLE.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (b) (2) Quoted: (8) (C) (iv)
Automated Concept:

CONTRACT or other agreement and nothing in paragraph to be construed to diminish greater or additional protection provided by Federal or State law or contract or other agreement ;   Rights protected by paragraph not to be diminished by

Index of Sec 1415. ...
Sec 1422. -- National Independent Monitor Pilot Program.
(c) RESPONSIBILITIES OF THE INDEPENDENT MONITOR.
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1422. (c)
Automated Concept:

CONTRACT with Secretary to participate in conduct of program ;   Independent monitor entering into

Index of Sec 1422. ...
Sec 1441. -- Establishment Of National Priorities For Quality Improvement.
(1) CONSENSUS-BASED ENTITY.
DIVISION B TITLE IV SUBTITLE C SEC 1441. Quoted: PART E SEC 1191. (d) (1)
Automated Concept:

CONTRACT with Secretary under section 1890 ;   Term consensus-based entity meaning entity with

Index of Sec 1441. ...
Sec 1443. -- Multi-Stakeholder Pre-Rulemaking Input Into Selection Of Quality Measures.
(2) CONSULTATION ON SELECTION OF ENDORSED QUALITY MEASURES.
DIVISION B TITLE IV SUBTITLE C SEC 1443. Quoted: (d) (2)
Automated Concept:

CONTRACT under section 1890 convening multi-stakeholder groups to provide recommendations on selection of individual or composite quality measures for use in reporting performance information to public or use in public health care programs ;   Consensus-based entity entering into

Index of Sec 1443. ...
(3) MULTI-STAKEHOLDER INPUT.
DIVISION B TITLE IV SUBTITLE C SEC 1443. Quoted: (d) (3)
Automated Concept:

CONTRACT provided under section 1890 ;   Recommendations to be included in transmissions consensus-based entity makes to Secretary under

Index of Sec 1443. ...
Sec 1444. -- Application Of Quality Measures.
(x) - paragraph (I)
DIVISION B TITLE IV SUBTITLE C SEC 1444. (a) Quoted: (x) (I)
Automated Concept:

CONTRACT with Secretary under section 1890(a) ;   Quality measuring specified under clause to be measures selected by Secretary from measures endorsed by entity with

Index of Sec 1444. ...
(x) - paragraph (II)
DIVISION B TITLE IV SUBTITLE C SEC 1444. (a) Quoted: (x) (II)
Automated Concept:

CONTRACT under section 1890(a) ;   Case of specified area or medical topic determined appropriate by Secretary For which feasible and practical quality measure not endorsed by entity with

Index of Sec 1444. ...
Sec 1636. -- Maximum Period For Submission Of Medicare Claims Reduced To Not More Than 12 Months.
(7) PERIOD FOR SUBMISSION OF CLAIMS.
DIVISION B TITLE VI SUBTITLE C SEC 1636. (b) (3) Quoted: (7)
Automated Concept:

CONTRACT ;   Contract requiring Ma organization or PDP sponsor to require provider of services under

Index of Sec 1636. ...
Sec 1743. -- Extension Of Prescription Drug Discounts To Enrollees Of Medicaid Managed Care Organizations.
(a) IN GENERAL. - paragraph (3) - paragraph (xiii)
DIVISION B TITLE VII SUBTITLE E SEC 1743. (a) (3) Quoted: (xiii)
Automated Concept:

CONTRACT providing that entity reporting to State  ;  

Index of Sec 1743. ...

Contract: bid or
Sec 1611. -- Enhanced Penalties For False Statements On Provider Or Supplier Enrollment Applications.
(a) IN GENERAL. - paragraph (4) - paragraph (8)
DIVISION B TITLE VI SUBTITLE B SEC 1611. (a) (4) Quoted: (8)
Automated Concept:

CONTRACT to participate or enroll as provider of services or supplier under Federal health care program ;   Made false statement, omission or misrepresenations of material fact in application, agreement, bid or

Index of Sec 1611. ...

Contract: Federal or State law or
Sec 1415. -- Standardized Complaint Form.
(iv) RIGHTS NOT WAIVABLE.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (a) (2) Quoted: (6) (C) (iv)
Automated Concept:

CONTRACT or other agreement ;   Rights protected by paragraph not to be diminished by contract or other agreement and nothing in paragraph to be construed to diminish greater or additional protection provided by Federal or State law or

Index of Sec 1415. ...
(iv) RIGHTS NOT WAIVABLE.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (b) (2) Quoted: (8) (C) (iv)
Automated Concept:

CONTRACT or other agreement ;   Rights protected by paragraph not to be diminished by contract or other agreement and nothing in paragraph to be construed to diminish greater or additional protection provided by Federal or State law or

Index of Sec 1415. ...

Contract: plan
Sec 1173. -- Information For Beneficiaries On Ma Plan Administrative Costs.
(4) REQUIREMENT FOR MINIMUM MEDICAL LOSS RATIO. - paragraph (C)
DIVISION B TITLE I SUBTITLE D PART 2 SEC 1173. (b) Quoted: (4) (C)
Automated Concept:

CONTRACT if plan failing to have medical loss ratio for 5 consecutive contract years ;   Secretary terminating plan

Index of Sec 1173. ...

Contract: privileges of employment or
Sec 1415. -- Standardized Complaint Form.
(i) PROHIBITION AGAINST RETALIATION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (a) (2) Quoted: (6) (C) (i)
Automated Concept:

CONTRACT for services terminated in good faith whether using form developed under subsection or other method for submitting complaint ;   Privileges of employment or

Index of Sec 1415. ...
(i) PROHIBITION AGAINST RETALIATION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (b) (2) Quoted: (8) (C) (i)
Automated Concept:

CONTRACT for services terminated in good faith whether using form developed under subsection or other method for submitting complaint ;   Privileges of employment or

Index of Sec 1415. ...

Contract: reasonable cost reimbursement
Sec 1165. -- Extension Of Reasonable Cost Contracts.
SEC 1165. -- EXTENSION OF REASONABLE COST CONTRACTS. - paragraph (2)
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1165. (2)
Automated Concept:

CONTRACT ;   Clause, striking service area for year and inserting portion of plan's service area for year within service area of reasonable cost reimbursement

Index of Sec 1165. ...

Contract: rfp
Sec 1204. -- Enhanced Oversight Relating To Reimbursements For Retroactive Low Income Subsidy Enrollment.
(i) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (4) (B) (i)
Automated Concept:

CONTRACT described in clause ;   Pursuant to rfp

Index of Sec 1204. ...
(ii) RFP CONTRACT DESCRIBED.
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (4) (B) (ii)
Automated Concept:

CONTRACT described in section being contract entered between Secretary and sponsor of prescription drug plan pursuant to Centers for Medicare and Medicaid Services' request for proposals issued on February 17, 2009 relating to Medicare part D retroactive coverage for certain low income beneficiaries ;   Rfp

Index of Sec 1204. ...

Contracts
Sec 1141. -- Rental And Purchase Of Power-Driven Wheelchairs.
(b) EFFECTIVE DATE.
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1141. (b)
Automated Concept:

CONTRACTS entered under section 1847 of Social Security Act 42 USC 1395w-3 pursuant to bid submitted under section before October 1, 2010 ;   Amendments not applying to

Index of Sec 1141. ...
Sec 1401. -- Comparative Effectiveness Research.
(11) DIRECTOR AND STAFF; EXPERTS AND CONSULTANTS. - paragraph (C)
Sec 1755. -- Managed Care Organizations.
(3) EFFECTIVE DATE.
DIVISION B TITLE VII SUBTITLE F SEC 1755. (a) (3)
Automated Concept:

CONTRACTS entered or renewed after July 1 ;   Amendments making by subsection applying to

Index of Sec 1755. ...

Contract: similar
Sec 1301. -- Accountable Care Organization Pilot Program.
(3) INVOLVEMENT IN PRIVATE PAYER ARRANGEMENTS.
DIVISION B TITLE III SEC 1301. Quoted: SEC 1866D. (j) (3)
Automated Concept:

CONTRACTS with private payers ;   Nothing in section to be construed as preventing qualifying ACOS participating in pilot program from negotiating similar

Index of Sec 1301. ...

Contract State State program
Sec 1177. -- Extension Of Authority Of Special Needs Plans To Restrict Enrollment.
(1) PLANS DESCRIBED.
DIVISION B TITLE I SUBTITLE D PART 3 SEC 1177. (b) (1)
Automated Concept:

CONTRACT with State having State program to operate integrated Medicaid-Medicare program approved by Centers for Medicare and Medicaid Services as of January 1 ;   Plan described in paragraph being plan having

Index of Sec 1177. ...

Contract year
Sec 1173. -- Information For Beneficiaries On Ma Plan Administrative Costs.
(4) REQUIREMENT FOR MINIMUM MEDICAL LOSS RATIO. - paragraph (B)
DIVISION B TITLE I SUBTITLE D PART 2 SEC 1173. (b) Quoted: (4) (B)
Automated Concept:

CONTRACT year ;   Secretary not permitting enrollment of new enrollees under plan for coverage during second succeeding

Index of Sec 1173. ...
Sec 1634. -- Evaluations And Reports Required Under Medicare Integrity Program.
(a) IN GENERAL. - paragraph (3) - paragraph (4)
DIVISION B TITLE VI SUBTITLE C SEC 1634. (a) (3) Quoted: (4)
Automated Concept:

CONTRACT year beginning in 2011 and subsequent contract year  ;  

Index of Sec 1634. ...
Sec 1752. -- Evaluations And Reports Required Under Medicaid Integrity Program.
SEC 1752. -- EVALUATIONS AND REPORTS REQUIRED UNDER MEDICAID INTEGRITY PROGRAM. - paragraph (2) - paragraph (D)
DIVISION B TITLE VII SUBTITLE F SEC 1752. (2) Quoted: (D)
Automated Concept:

CONTRACT year beginning in 2011 and subsequent contract year  ;  

Index of Sec 1752. ...

Contract year: subsequent
Sec 1634. -- Evaluations And Reports Required Under Medicare Integrity Program.
(a) IN GENERAL. - paragraph (3) - paragraph (4)
DIVISION B TITLE VI SUBTITLE C SEC 1634. (a) (3) Quoted: (4)
Automated Concept:

CONTRACT year ;   Contract year beginning in 2011 and subsequent

Index of Sec 1634. ...
Sec 1752. -- Evaluations And Reports Required Under Medicaid Integrity Program.
SEC 1752. -- EVALUATIONS AND REPORTS REQUIRED UNDER MEDICAID INTEGRITY PROGRAM. - paragraph (2) - paragraph (D)
DIVISION B TITLE VII SUBTITLE F SEC 1752. (2) Quoted: (D)
Automated Concept:

CONTRACT year ;   Contract year beginning in 2011 and subsequent

Index of Sec 1752. ...

Contract years
Sec 1173. -- Information For Beneficiaries On Ma Plan Administrative Costs.
(A) IN GENERAL.
DIVISION B TITLE I SUBTITLE D PART 2 SEC 1173. (a) Quoted: (p) (3) (A)
Automated Concept:

CONTRACT years beginning with 2012 of data necessary for calculation of medical loss ratio for Ma plans ;   Secretary developing and implement standardized data elements and definitions for reporting under subsection for

Index of Sec 1173. ...
Sec 1174. -- Strengthening Audit Authority.
(c) EFFECTIVE DATE.
DIVISION B TITLE I SUBTITLE D PART 2 SEC 1174. (c)
Automated Concept:

CONTRACT years beginning after January 1 ;   Amendments making by section taking effect on date of enactment of Act and applying to audits and activities conducted for

Index of Sec 1174. ...
Sec 1175. -- Authority To Deny Plan Bids.
(c) EFFECTIVE DATE.
DIVISION B TITLE I SUBTITLE D PART 2 SEC 1175. (c)
Automated Concept:

CONTRACT years beginning after January 1 ;   Amendments making by section applying to bids for

Index of Sec 1175. ...
Sec 1183. -- Repeal Of Provision Relating To Submission Of Claims By Pharmacies Located In Or Contracting With Long-Term Care Facilities.
(c) EFFECTIVE DATE.
DIVISION B TITLE I SUBTITLE E SEC 1183. (c)
Automated Concept:

CONTRACT years beginning with 2010 ;   Amendments making by section applying for

Index of Sec 1183. ...
Sec 1205. -- Intelligent Assignment In Enrollment.
(b) EFFECTIVE DATE.
DIVISION B TITLE II SUBTITLE A SEC 1205. (b)
Automated Concept:

CONTRACT years beginning with 2012 ;   Amendment making by subsection taking effect for

Index of Sec 1205. ...

Contract year: consecutive
Sec 1173. -- Information For Beneficiaries On Ma Plan Administrative Costs.
(4) REQUIREMENT FOR MINIMUM MEDICAL LOSS RATIO. - paragraph (C)
DIVISION B TITLE I SUBTITLE D PART 2 SEC 1173. (b) Quoted: (4) (C)
Automated Concept:

CONTRACT years ;   Secretary terminating plan contract if plan failing to have medical loss ratio for 5 consecutive

Index of Sec 1173. ...

Cooperative entity
Sec 1236. -- Demonstration Program On Use Of Patient Decisions Aids.
(1) ELIGIBLE PROVIDER. - paragraph (H)
DIVISION B TITLE II SUBTITLE C SEC 1236. (h) (1) (H)
Automated Concept:

COOPERATIVE entity including State government and one other health care provider being set up for purpose of testing shared decision making and patient decision aids ;   State

Index of Sec 1236. ...

Corporation
Sec 1411. -- Required Disclosure Of Ownership And Additional Disclosable Parties Information.
(D) ORGANIZATIONAL STRUCTURE. - paragraph (i)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1411. (a) Quoted: (c) (6) (D) (i)
Automated Concept:

INTEREST in corporation being equal or exceeding 5 percent ;   Shareholders of corporation having ownership

Index of Sec 1411. ...

Corporation: shareholders of
Sec 1411. -- Required Disclosure Of Ownership And Additional Disclosable Parties Information.
(D) ORGANIZATIONAL STRUCTURE. - paragraph (i)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1411. (a) Quoted: (c) (6) (D) (i)
Automated Concept:

INTEREST in corporation being equal or exceeding 5 percent ;   Shareholders of corporation having ownership

Index of Sec 1411. ...

Criminal
Sec 1412. -- Accountability Requirements.
(i) REQUIREMENT.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (i)
Automated Concept:

ADMINISTRATIVE violations under Act and promoting quality of care consistent with regulations developed under clause ;   Skilled nursing facility in operation compliance and ethics program being effective in preventing and detecting criminal, civil and

Index of Sec 1412. ...
(iii) REQUIREMENTS FOR COMPLIANCE AND ETHICS PROGRAMS. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iii) (I)
Automated Concept:

ADMINISTRATIVE violations under Act and promoting quality of care ;   Effective in preventing and detecting criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (I)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Organization to have established compliance standards and procedures to be followed by employees, contractors and other agents being reasonably capable of reducing prospect of criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (III)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (III)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Propensity to engage in criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (V)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (V)
Automated Concept:

ADMINISTRATIVE violations under Act by employees and other agents and place and publicizing reporting system whereby employees and other agents reporting violations by others within organization without fear of retribution ;   Utilizing monitoring and auditing systems reasonably designed to detect criminal, civil and

Index of Sec 1412. ...
(i) REQUIREMENT.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (i)
Automated Concept:

ADMINISTRATIVE violations under Act and promoting quality of care consistent with regulations developed under clause ;   Nursing facility in operation compliance and ethics program being effective in preventing and detecting criminal, civil and

Index of Sec 1412. ...
(iii) REQUIREMENTS FOR COMPLIANCE AND ETHICS PROGRAMS. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iii) (I)
Automated Concept:

ADMINISTRATIVE violations under Act and promoting quality of care ;   Effective in preventing and detecting criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (I)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Organization to have established compliance standards and procedures to be followed by employees and other agents being reasonably capable of reducing prospect of criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (III)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (III)
Automated Concept:

ADMINISTRATIVE violations under Act ;   Propensity to engage in criminal, civil and

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (V)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (V)
Automated Concept:

ADMINISTRATIVE violations under Act by employees and other agents and place and publicizing reporting system whereby employees and other agents reporting violations by others within organization without fear of retribution ;   Utilizing monitoring and auditing systems reasonably designed to detect criminal, civil and

Index of Sec 1412. ...
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(2) NO PREEMPTION OF ADDITIONAL REQUIREMENTS. - paragraph (C)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (h) (2) (C)
Automated Concept:

ADMINISTRATIVE proceeding ;   Discovery or admissibility of information described in section in criminal, civil or

Index of Sec 1451. ...

Criminal justice system
Sec 1713. -- Optional Coverage Of Nurse Home Visitation Services.
(a) IN GENERAL. - paragraph (2) - paragraph (aa) - paragraph (2)
DIVISION B TITLE VII SUBTITLE B SEC 1713. (a) (2) Quoted: (aa) (2)
Automated Concept:

CRIMINAL justice system ;   Improving family stability or reducing maternal and child involvement in

Index of Sec 1713. ...

Criminal sexual abuse
Sec 1413. -- Nursing Home Compare Medicare Website.
(A) IN GENERAL. - paragraph (vii) - paragraph (II)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1413. (a) (1) (B) Quoted: (i) (1) (A) (vii) (II)
Automated Concept:

CRIMINAL sexual abuse or other violations or crimes resulted in serious bodily injury ;   Respect to instances of violations or crimes committed inside of facility being violations or crimes of abuse, neglect and exploitation,

Index of Sec 1413. ...

Debt: bad
Sec 1112. -- Medicare Dsh Report And Payment Adjustments In Response To Coverage Expansion.
(1) IN GENERAL. - paragraph (B)
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1112. (b) (1) (B)
Automated Concept:

DEBT ;   Increase Medicare dss for hospital by additional amount based on amount of uncompensated care provided by hospital based on criteria for uncompensated care as determined by Secretary excluding bad

Index of Sec 1112. ...

Deficiency
Sec 1421. -- Civil Money Penalties.
(bb) CERTAIN OTHER DEFICIENCIES.
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (a) (1) Quoted: (ii) (V) (bb)
Automated Concept:

HEALTH or safety of resident or residents of facility or penalty imposed for deficiency described in subclause ;   Secretary not reducing under subclause amount of penalty if penalty imposed for deficiency described in subclause or actual harm or widespread harm immediately jeopardizing

Index of Sec 1421. ...
(II) CERTAIN OTHER DEFICIENCIES.
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (1) (A) (ii) Quoted: (G) (v) (II)
Automated Concept:

HEALTH or safety of resident or residents of facility or penalty imposed for deficiency described in clause ;   State not reducing under clause amount of penalty if penalty imposed for deficiency described in clause or actual harm or widespread harm immediately jeopardizing

Index of Sec 1421. ...
(II) REDUCTION OF CIVIL MONEY PENALTIES IN CERTAIN CIRCUMSTANCES.
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (2) (A) Quoted: (ii) (II)
Automated Concept:

IMPOSITION ;   Case where facility self-reports and promptly corrects deficiency For which penalty imposed under clause not later than 10 calendar days after date of

Index of Sec 1421. ...

Deficiency: case of
Sec 1421. -- Civil Money Penalties.
(II) APPLICABLE PER INSTANCE AMOUNT. - paragraph (bb)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (a) (1) Quoted: (ii) (II) (bb)
Automated Concept:

JEOPARDY ;   Case of deficiency where facility cited for actual harm or immediate

Index of Sec 1421. ...
(III) APPLICABLE PER DAY AMOUNT. - paragraph (aa)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (a) (1) Quoted: (ii) (III) (aa)
Automated Concept:

JEOPARDY ;   Case of deficiency where facility cited for actual harm or immediate

Index of Sec 1421. ...
(ii) APPLICABLE PER INSTANCE AMOUNT. - paragraph (II)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (1) (A) (ii) Quoted: (G) (ii) (II)
Automated Concept:

JEOPARDY ;   Case of deficiency where facility cited for actual harm or immediate

Index of Sec 1421. ...
(iii) APPLICABLE PER DAY AMOUNT. - paragraph (I)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1421. (b) (1) (A) (ii) Quoted: (G) (iii) (I)
Automated Concept:

JEOPARDY ;   Case of deficiency where facility cited for actual harm or immediate

Index of Sec 1421. ...

Deficiency analyses of chain: root-cause quality and
Sec 1422. -- National Independent Monitor Pilot Program.
(c) RESPONSIBILITIES OF THE INDEPENDENT MONITOR. - paragraph (1)
DIVISION B TITLE IV SUBTITLE B PART 2 SEC 1422. (c) (1)
Automated Concept:

COMPLIANCE with State and Federal laws and regulations applicable to facilities ;   Conduct periodic reviews and preparing root-cause quality and deficiency analyses of chain to assess if facilities of chain in

Index of Sec 1422. ...

Deficiency citations
Sec 1412. -- Accountability Requirements.
(III) EVALUATION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (ii) (III)
Automated Concept:

DEFICIENCY citations, changes in quality performance or changes in other metrics of resident quality of care ;   Evaluation determining if programs leading to changes in

Index of Sec 1412. ...
(III) EVALUATION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (ii) (III)
Automated Concept:

DEFICIENCY citations, changes in quality performance or changes in other metrics of resident quality of care ;   Evaluation determining if programs leading to changes in

Index of Sec 1412. ...

Dementia management
Sec 1431. -- Dementia And Abuse Prevention Training.
(a) SKILLED NURSING FACILITIES.
DIVISION B TITLE IV SUBTITLE B PART 3 SEC 1431. (a)
Automated Concept:

DEMENTIA management training and resident abuse prevention training after curriculum  ;  

Index of Sec 1431. ...
(b) NURSING FACILITIES.
DIVISION B TITLE IV SUBTITLE B PART 3 SEC 1431. (b)
Automated Concept:

DEMENTIA management training and resident abuse prevention training after curriculum  ;  

Index of Sec 1431. ...

Developmental delays
Sec 1904. -- Grants To States For Quality Home Visitation Programs For Families With Young Children And Families Expecting Children.
(1) IN GENERAL. - paragraph (A) - paragraph (v) - paragraph (VI)
DIVISION B TITLE IX SEC 1904. Quoted: SUBPART 3 SEC 440. (f) (1) (A) (v) (VI)
Automated Concept:

SOCIAL ;   Skills to recognize and seek help for issues related to health, developmental delays and

Index of Sec 1904. ...

Diabetes
Sec 1305. -- Coverage And Waiver Of Cost-Sharing For Preventive Services.
(iii) MEDICARE COVERED PREVENTIVE SERVICES. - paragraph (1) - paragraph (H)

Diabetic testing supplies
Sec 1148. -- Durable Medical Equipment Program Improvements.
(c) TREATMENT OF CURRENT ACCREDITATION APPLICATIONS. - paragraph (3) - paragraph (iii)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1148. (c) (3) Quoted: (iii)
Automated Concept:

PROSTHETICS, orthotics and supplies ;   Requirement for accreditation described in clause not applying for purposes of supplying diabetic testing supplies, canes and crutches in case of pharmacy enrolled under section 1866(j) as supplier of durable medical equipment,

Index of Sec 1148. ...

Diagnostic: advanced
Sec 1147. -- Payment For Imaging Services.
(C) ADJUSTMENT IN PRACTICE EXPENSE TO REFLECT HIGHER PRESUMED UTILIZATION.
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1147. (a) (1) (B) Quoted: (C)
Automated Concept:

IMAGING equipment ;   Computing number of practice expense relative value units under subsection with respect to advanced diagnostic imaging services presumed rate of utilization of

Index of Sec 1147. ...

Diagnostic code: secondary
Sec 1751. -- Health-Care Acquired Conditions.
(a) MEDICAID NON-PAYMENT FOR CERTAIN HEALTH CARE-ACQUIRED CONDITIONS. - paragraph (3) - paragraph (25)
DIVISION B TITLE VII SUBTITLE F SEC 1751. (a) (3) Quoted: (25)
Automated Concept:

DIAGNOSTIC code described in section 1886(d)(4)(d)( iv and health care acquired condition determined as non-covered service under title XVIII ;   Respect to amounts expended for services related to presence of condition to be identified by secondary

Index of Sec 1751. ...

Diagnostic mammograms and Medicare
Sec 1305. -- Coverage And Waiver Of Cost-Sharing For Preventive Services.
(A) EXCLUSION FROM OPD FEE SCHEDULE.
DIVISION B TITLE III SEC 1305. (b) (2) (A)
Automated Concept:

DIAGNOSTIC mammograms and Medicare covered preventive services ;   Section 1833(t)(1)(b)( iv of Social Security Act 42 USC 1395l(t)(1)(b)( iv amended by striking screening mammography and diagnostic mammography and inserting

Index of Sec 1305. ...

Differential payments
Sec 1302. -- Medical Home Pilot Program.
(D) AMOUNT OF PAYMENT. - paragraph (ii)
DIVISION B TITLE III SEC 1302. (a) Quoted: SEC 1866E. (c) (3) (D) (ii)
Automated Concept:

DIFFERENTIAL payments based on capabilities of independent patient-centered medical home ;   Allowing for

Index of Sec 1302. ...

Discharge
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(1) IN GENERAL. - paragraph (A)
DIVISION B TITLE I SUBTITLE C SEC 1151. (a) (1) Quoted: (p) (1) (A)
Automated Concept:

DISCHARGE ;   Base operating DRG payment amount for

Index of Sec 1151. ...
(A) IN GENERAL.
DIVISION B TITLE I SUBTITLE C SEC 1151. (a) (1) Quoted: (p) (2) (A)
Automated Concept:

DISCHARGE if subsection not ;   Payment amount otherwise to be made under subsection for

Index of Sec 1151. ...
(E) READMISSION.
(2) CONSIDERATIONS. - paragraph (A)
DIVISION B TITLE I SUBTITLE C SEC 1151. (d) (2) (A)
Automated Concept:

DISCHARGE from hospital or critical access hospital ;   Creating new code and payment amount under fee schedule in section 1848 of Social Security Act for services furnished by appropriate physician seeing individual within first week after

Index of Sec 1151. ...
Sec 1152. -- Post Acute Care Services Payment Reform Plan And Bundling Pilot Program.
(3) POST ACUTE SERVICES.
DIVISION B TITLE I SUBTITLE C SEC 1152. (a) (3)
Automated Concept:

DISCHARGE of individual from hospital and other services determined appropriate by Secretary ;   Term post acute services meaning services For which payment to be made under Medicare program furnished by skilled nursing facilities, inpatient rehabilitation facilities, long term care hospitals, hospital based outpatient rehabilitation facilities and home health agencies to individual after

Index of Sec 1152. ...
Sec 1415. -- Standardized Complaint Form.
(i) PROHIBITION AGAINST RETALIATION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (a) (2) Quoted: (6) (C) (i)
Automated Concept:

DISCHARGE ;   No person working at skilled nursing facility to be penalized, discriminated or retaliated with respect to aspect of employment including

Index of Sec 1415. ...
(i) PROHIBITION AGAINST RETALIATION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1415. (b) (2) Quoted: (8) (C) (i)
Automated Concept:

DISCHARGE ;   No person working at nursing facility to be penalized, discriminated or retaliated with respect to aspect of employment including

Index of Sec 1415. ...

Discharge: date of
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(E) READMISSION.
DIVISION B TITLE I SUBTITLE C SEC 1151. (a) (1) Quoted: (p) (5) (E)
Automated Concept:

DISCHARGE ;   Admission of individual to same or another applicable hospital within time period specified by Secretary from date of

Index of Sec 1151. ...

Discharge: initial
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(A) IN GENERAL.
DIVISION B TITLE I SUBTITLE C SEC 1151. (c) (1) (A)
Automated Concept:

DISCHARGE from applicable hospital or critical access hospital ;   Claim submitted post-acute care provider under title XVIII of Social Security Act indicating that individual readmitted to hospital post-acute care provider or admitted from home and care of home health agency within 30 days of initial

Index of Sec 1151. ...

Discharge: subsection
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE C SEC 1151. (a) (1) Quoted: (p) (1)
Automated Concept:

DISCHARGE by amount equal to product ;   Secretary reducing payments otherwise to be made to hospital under subsection

Index of Sec 1151. ...

Discharges
Sec 1103. -- Incorporating Productivity Improvements Into Market Basket Updates That Do Not Already Incorporate Such Improvements.
(3) PRODUCTIVITY ADJUSTMENT.
DIVISION B TITLE I SUBTITLE A PART 1 SEC 1103. (c) Quoted: (3)
Automated Concept:

DISCHARGES for hospital ;   Annual percentage increase factor applying to base rate for

Index of Sec 1103. ...
(2) PRODUCTIVITY ADJUSTMENT.
DIVISION B TITLE I SUBTITLE A PART 1 SEC 1103. (e) Quoted: (o) (2)
Automated Concept:

DISCHARGES for hospital or unit ;   Annual percentage increase factor applying to base rate for

Index of Sec 1103. ...
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE C SEC 1151. (a) (1) Quoted: (p) (1)
Automated Concept:

DISCHARGES from applicable hospital occurring during fiscal year beginning after October 1 ;   Respect to payment for

Index of Sec 1151. ...
(B) AGGREGATE PAYMENTS FOR ALL DISCHARGES.
DIVISION B TITLE I SUBTITLE C SEC 1151. (a) (1) Quoted: (p) (4) (B)
Automated Concept:

DISCHARGES for conditions from hospital for fiscal year ;   Term aggregate payments for discharges meaning sum of base operating DRG payment amounts for

Index of Sec 1151. ...
Sec 1751. -- Health-Care Acquired Conditions.
(d) EFFECTIVE DATE.
DIVISION B TITLE VII SUBTITLE F SEC 1751. (d)
Automated Concept:

DISCHARGES occurring after January 1 ;   Amendments making by section applying to

Index of Sec 1751. ...

Discharges or services
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(C) EFFECTIVE DATE.
DIVISION B TITLE I SUBTITLE C SEC 1151. (c) (1) (C)
Automated Concept:

DISCHARGES or services furnished after first day of fiscal year or rate year beginning after October 1 ;   Subparagraph applying to

Index of Sec 1151. ...

Discharge: minimum number of
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(ii) EXCLUSION OF CERTAIN READMISSIONS.
DIVISION B TITLE I SUBTITLE C SEC 1151. (a) (1) Quoted: (p) (4) (C) (ii)
Automated Concept:

DISCHARGES for applicable condition for applicable period and hospital ;   Excess readmissions not including readmissions for applicable condition For which fewer than minimum number of

Index of Sec 1151. ...

Discharge: services or
Sec 1152. -- Post Acute Care Services Payment Reform Plan And Bundling Pilot Program.
(b) DETAILS. - paragraph (3)
DIVISION B TITLE I SUBTITLE C SEC 1152. (b) (3)
Automated Concept:

DISCHARGES ;   Bundle to be applied across categories of providers of inpatient services and post acute care services or limited to certain categories of providers, services or

Index of Sec 1152. ...

Disciplinary mechanisms: appropriate
Sec 1412. -- Accountability Requirements.
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (VI)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (VI)
Automated Concept:

DISCIPLINARY mechanisms as appropriate ;   Standards to be consistently enforced through appropriate

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (VI)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (VI)
Automated Concept:

DISCIPLINARY mechanisms as appropriate ;   Standards to be consistently enforced through appropriate

Index of Sec 1412. ...

Disciplinary team
Sec 1505. -- Improving Accountability For Approved Medical Residency Training.
(B) GOALS AND ACCOUNTABILITY FOR APPROVED MEDICAL RESIDENCY TRAINING PROGRAMS. - paragraph (iv)
DIVISION B TITLE V SEC 1505. (a) (2) Quoted: (B) (iv)
Automated Concept:

DISCIPLINARY team-based models in provider and nonprovider settings to enhance safety and improving quality of patient care ;   Work in inter-professional teams and multi-

Index of Sec 1505. ...

Disclosing entity
Sec 1411. -- Required Disclosure Of Ownership And Additional Disclosable Parties Information.

Disclosure
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(6) CONFIDENTIALITY.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (a) (6)
Automated Concept:

DISCLOSURE under section 552 of title 5, United States Code or other similar Federal ;   Information described in paragraph or considered confidential and not subject to

Index of Sec 1451. ...
(2) NO PREEMPTION OF ADDITIONAL REQUIREMENTS. - paragraph (A)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (h) (2) (A)
Automated Concept:

DISCLOSURE or reporting of information not of type required to be disclosed or reported under section  ;  

Index of Sec 1451. ...
(2) NO PREEMPTION OF ADDITIONAL REQUIREMENTS. - paragraph (B)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (h) (2) (B)
Automated Concept:

DISCLOSURE or reporting of type of information required to be disclosed or reported under section to Federal  ;  

Index of Sec 1451. ...

Disclosure of ownership
Sec 1411. -- Required Disclosure Of Ownership And Additional Disclosable Parties Information.
SEC 1411. -- REQUIRED DISCLOSURE OF OWNERSHIP AND ADDITIONAL DISCLOSABLE PARTIES INFORMATION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1411.
Automated Concept:

DISCLOSURE of ownership and additional DISCLOSABLE partying information ;   Requiring

Index of Sec 1411. ...
(c) REQUIRED DISCLOSURE OF OWNERSHIP AND ADDITIONAL DISCLOSABLE PARTIES INFORMATION.
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1411. (a) Quoted: (c)
Automated Concept:

DISCLOSURE of ownership and additional DISCLOSABLE partying information ;   Requiring

Index of Sec 1411. ...

Disclosures
Sec 1203. -- Eliminating Barriers To Enrollment.
(b) DISCLOSURES TO FACILITATE IDENTIFICATION OF INDIVIDUALS LIKELY TO BE INELIGIBLE FOR THE LOW-INCOME ASSISTANCE UNDER THE MEDICARE PRESCRIPTION DRUG PROGRAM TO ASSIST SOCIAL SECURITY ADMINISTRATION'S OUTREACH TO ELIGIBLE INDIVIDUALS.
DIVISION B TITLE II SUBTITLE A SEC 1203. (b)
Automated Concept:

DISCLOSURES to facilitate identification of Individuals likely to be ineligible for low-income assistance under medicare prescription Drug Program to Assist social security administration's outreach to eligible Individuals  ;  

Index of Sec 1203. ...
Sec 1801. -- Disclosures To Facilitate Identification Of Individuals Likely To Be Ineligible For The Low-Income Assistance Under The Medicare Prescription Drug Program To Assist Social Security Administration'S Outreach To Eligible Individuals.
SEC 1801. -- DISCLOSURES TO FACILITATE IDENTIFICATION OF INDIVIDUALS LIKELY TO BE INELIGIBLE FOR THE LOW-INCOME ASSISTANCE UNDER THE MEDICARE PRESCRIPTION DRUG PROGRAM TO ASSIST SOCIAL SECURITY ADMINISTRATION'S OUTREACH TO ELIGIBLE INDIVIDUALS.
DIVISION B TITLE VIII SEC 1801.
Automated Concept:

DISCLOSURES to facilitate identification of Individuals likely to be ineligible for low-income assistance under medicare prescription Drug Program to Assist social security administration's outreach to eligible Individuals  ;  

Index of Sec 1801. ...
(19) DISCLOSURES TO FACILITATE IDENTIFICATION OF INDIVIDUALS LIKELY TO BE INELIGIBLE FOR LOW-INCOME SUBSIDIES UNDER MEDICARE PRESCRIPTION DRUG PROGRAM TO ASSIST SOCIAL SECURITY ADMINISTRATION'S OUTREACH TO ELIGIBLE INDIVIDUALS.
DIVISION B TITLE VIII SEC 1801. (a) Quoted: (19)
Automated Concept:

DISCLOSURES to facilitate identification of Individuals likely to be ineligible for low-income Subsidies under medicare prescription Drug Program to Assist social security administration's outreach to eligible Individuals  ;  

Index of Sec 1801. ...
(d) EFFECTIVE DATE.
DIVISION B TITLE VIII SEC 1801. (d)
Automated Concept:

DISCLOSURES making after date being 12 months after date of enactment of Act ;   Amendments making by section applying to

Index of Sec 1801. ...

Disclosure report: financial
Sec 1401. -- Comparative Effectiveness Research.
(B) EVALUATION AND CRITERIA.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (8) (B)
Automated Concept:

APPOINTMENT ;   Considering appointment to Commission or clinical perspective advisory panel described paragraph Secretary or Commission reviewing expertise of individual and financial disclosure report filed by individual pursuant to Ethics in Government Act of 1978 for individual under consideations for

Index of Sec 1401. ...

Discretionary authority: substantial
Sec 1412. -- Accountability Requirements.
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (III)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (1) Quoted: (C) (iv) (III)
Automated Concept:

DISCRETIONARY authority to individuals organization knowing or known through exercise of due diligence ;   Organization to have used due care not to delegate substantial

Index of Sec 1412. ...
(iv) REQUIRED COMPONENTS OF PROGRAM. - paragraph (III)
DIVISION B TITLE IV SUBTITLE B PART 1 SEC 1412. (a) (2) Quoted: (C) (iv) (III)
Automated Concept:

DISCRETIONARY authority to individuals organization knowing or known through exercise of due diligence ;   Organization to have used due care not to delegate substantial

Index of Sec 1412. ...

Disproportionate share hospitals
Sec 1112. -- Medicare Dsh Report And Payment Adjustments In Response To Coverage Expansion.
(c) MEDICARE DSH.
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1112. (c)
Automated Concept:

DISPROPORTIONATE share hospitals ;   Term Medicare dss meaning adjustments in payments under section 1886(d)(5)(f) of Social Security Act 42 USC 1395ww(d)(5)(f) for inpatient hospital services furnished by

Index of Sec 1112. ...
Sec 1704. -- Reduction In Medicaid Dsh.
(4) MEDICAID DSH.
DIVISION B TITLE VII SUBTITLE A SEC 1704. (a) (4)
Automated Concept:

DISPROPORTIONATE share hospitals ;   Term Medicaid dss meaning adjustments in payments under section 1923 of Social Security Act for inpatient hospital services furnished by

Index of Sec 1704. ...

Disproportionate share payments
Sec 1151. -- Reducing Potentially Preventable Hospital Readmissions.
(B) TARGETED HOSPITALS. - paragraph (i)
DIVISION B TITLE I SUBTITLE C SEC 1151. (a) (1) Quoted: (p) (8) (B) (i)
Automated Concept:

DISPROPORTIONATE share payments using latest available data as estimated by Secretary ;   Eligible to receive $10,000,000 or more in

Index of Sec 1151. ...

Dissemination
Sec 1401. -- Comparative Effectiveness Research.
(1) DISSEMINATION.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (e) (1)
Automated Concept:

CLINICAL decision support, appropriate professional associations and Federal and private health plans and other relevant stakeholders ;   Center providing for dissemination of appropriate findings produced by research supported, conducted or synthesized under section to health care providers, patients, vendors of health information technology focused on

Index of Sec 1401. ...
(1) DISSEMINATION. - paragraph (D)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (e) (1) (D)
Automated Concept:

CONFIDENTIALITY agreements making with respect to use of data under section ;   Dissemination of which violating privacy of research participants or violating

Index of Sec 1401. ...
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (e) (2)
Automated Concept:

DISSEMINATION to individuals with limited English proficiency ;   Center consulting with stakeholders concerning types of dissemination to be useful to end users of information and providing for utilization of multiple formats for conveying findings to different audiences including

Index of Sec 1401. ...
Sec 1904. -- Grants To States For Quality Home Visitation Programs For Families With Young Children And Families Expecting Children.
(l) RESERVATIONS OF FUNDS. - paragraph (1)
DIVISION B TITLE IX SEC 1904. Quoted: SUBPART 3 SEC 440. (l) (1)
Automated Concept:

DISSEMINATION of best practices in early childhood home visitation ;   Amount equal to 5 percent of amounts to pay cost of evaluation provided in subsection and provision to States of training and technical assistance including

Index of Sec 1904. ...

Dissemination: broad
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (K)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (b) (2) (K)
Automated Concept:

DISSEMINATION of findings of research conducted and supported under section enabling clinicians, patients, consumers and payers to make more informed health care decisions improving quality and value ;   Make recommendations to center for broad

Index of Sec 1401. ...

Dissemination: appropriate
Sec 1401. -- Comparative Effectiveness Research.
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (e) (2)
Automated Concept:

DISSEMINATION of research findings in order to ensure effective communication of findings and use and incorporation of findings into relevant activities for purpose of informing higher quality and more effective and efficient decisions regarding medical items and services ;   Center developing protocols and strategies for appropriate

Index of Sec 1401. ...

Dissemination: types of
Sec 1401. -- Comparative Effectiveness Research.
(2) DISSEMINATION PROTOCOLS AND STRATEGIES.
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (e) (2)
Automated Concept:

CONVEYING findings to different audiences including dissemination to individuals with limited English proficiency ;   Center consulting with stakeholders concerning types of dissemination to be useful to end users of information and providing for utilization of multiple formats for

Index of Sec 1401. ...

Distribution
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(5) DISTRIBUTOR OF A COVERED DRUG, DEVICE, OR MEDICAL SUPPLY.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (5)
Automated Concept:

DISTRIBUTION of covered drug, device or medical supply ;   Term distributor of covered drug, device or medical supply meaning entity engaged in marketing or

Index of Sec 1451. ...
(8) MANUFACTURER OF A COVERED DRUG, DEVICE, BIOLOGICAL, OR MEDICAL SUPPLY.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (8)
Automated Concept:

DISTRIBUTION of covered drug, device, biological or medical supply ;   Conversion, processing, marketing or

Index of Sec 1451. ...

Distribution of grants
Sec 1222. -- Demonstration To Promote Access For Medicare Beneficiaries With Limited English Proficiency By Providing Reimbursement For Culturally And Linguistically Appropriate Services.
(a) IN GENERAL.
DIVISION B TITLE II SUBTITLE B SEC 1222. (a)
Automated Concept:

DISTRIBUTION of grants so as to betting target Medicare beneficiaries in greatest need of language services ;   Designing and carrying out demonstration Secretary taking into consideations results of study conducted under section 1221(a) and adjusting

Index of Sec 1222. ...

Distribution: appropriate amount and
Sec 1112. -- Medicare Dsh Report And Payment Adjustments In Response To Coverage Expansion.
(1) IN GENERAL. - paragraph (A)
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1112. (a) (1) (A)
Automated Concept:

DISTRIBUTION of Medicare dss to compensate for higher Medicare costs associated with serving low-income beneficiaries ;   Appropriate amount and

Index of Sec 1112. ...
(1) IN GENERAL. - paragraph (B)
DIVISION B TITLE I SUBTITLE A PART 2 SEC 1112. (a) (1) (B)
Automated Concept:

DISTRIBUTION of Medicare dss to hospitals given continued uncompensated care costs ;   Appropriate amount and

Index of Sec 1112. ...

Distribution: profit
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(B) INCLUSIONS.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (9) (B)
Automated Concept:

DISTRIBUTION, stock or stock option grant or ownership or investment interest holding by physician in manufacturer ;   Term payment or other transfer of value including compensation, gift, honorarium, speaking fee, consulting fee, travel, services, dividend, profit

Index of Sec 1451. ...

Dividend
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(B) INCLUSIONS.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (9) (B)
Automated Concept:

DISTRIBUTION, stock or stock option grant or ownership or investment interest holding by physician in manufacturer ;   Term payment or other transfer of value including compensation, gift, honorarium, speaking fee, consulting fee, travel, services, dividend, profit

Index of Sec 1451. ...

Doctoral degree
Sec 1308. -- Coverage Of Marriage And Family Therapist Services And Mental Health Counselor Services.
(jjj) MARRIAGE AND FAMILY THERAPIST SERVICES. - paragraph (2) - paragraph (A)
DIVISION B TITLE III SEC 1308. (a) (2) Quoted: (jjj) (2) (A)
Automated Concept:

CERTIFICATION as marriage and family therapist pursuant to State law ;   Possessing master or doctoral degree qualifying for licensure or

Index of Sec 1308. ...

Documentation
Sec 1638. -- Requirement For Physicians To Provide Documentation On Referrals To Programs At High Risk Of Waste And Abuse.
SEC 1638. -- REQUIREMENT FOR PHYSICIANS TO PROVIDE DOCUMENTATION ON REFERRALS TO PROGRAMS AT HIGH RISK OF WASTE AND ABUSE.
DIVISION B TITLE VI SUBTITLE C SEC 1638.
Automated Concept:

DOCUMENTATION on Referrals to Programs at high Risk of wasting and abusing ;   Sec 1638, requirement for Physicians to provide

Index of Sec 1638. ...
(a) PHYSICIANS AND OTHER SUPPLIERS. - paragraph (10)
DIVISION B TITLE VI SUBTITLE C SEC 1638. (a) Quoted: (10)
Automated Concept:

CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by physician or supplier under title as specified by Secretary ;   Physician or supplier under section 1866(j) if physician or supplier failing to maintain and provide access to documentation relating to written orders or requests for payment for durable medical equipment,

Index of Sec 1638. ...
(b) PROVIDERS OF SERVICES. - paragraph (3) - paragraph (X)
DIVISION B TITLE VI SUBTITLE C SEC 1638. (b) (3) Quoted: (X)
Automated Concept:

CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by provider under title as specified by Secretary ;   Maintaining and providing access to documentation relating to written orders or requests for payment for durable medical equipment,

Index of Sec 1638. ...

Documentation: additional
Sec 1203. -- Eliminating Barriers To Enrollment.
(iii) CERTIFICATION OF INCOME AND RESOURCES. - paragraph (II)
DIVISION B TITLE II SUBTITLE A SEC 1203. (a) (1) Quoted: (iii) (II)
Automated Concept:

DOCUMENTATION excepting in extraordinary situations as determined by Commissioner ;   Matters attested in application to be subject to appropriate methods of verification without need of individual to provide additional

Index of Sec 1203. ...

Drug
Sec 1181. -- Elimination Of Coverage Gap.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (1)
Automated Concept:

DRUG or biologic manufactured by manufacturer not entering and effect rebate agreement described in paragraph ;   Term covered part D drug not including

Index of Sec 1181. ...
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (1)
Automated Concept:

DRUG or biologic manufactured by manufacturer not entering and effect for qualifying drugs discount agreement described in paragraph ;   Term covered part D drug not including

Index of Sec 1182. ...
(4) ADDITIONAL TERMS. - paragraph (A)
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (4) (A)
Automated Concept:

DRUG ;   Sponsor or plan providing discount to enrollee at time enrollee paying for

Index of Sec 1182. ...
(i) - paragraph (I)
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (A) (i) (I)
Automated Concept:

DRUG application approved by Food and drugging Administration ;   Drug produced or distributed under original new

Index of Sec 1182. ...
(i) - paragraph (II)
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (A) (i) (II)
Automated Concept:

DRUG application approved by Food and drugging Administration ;   Drug originally marketed under original new

Index of Sec 1182. ...
Sec 1185. -- Permitting Mid-Year Changes In Enrollment For Formulary Changes That Adversely Impact An Enrollee.
(ii) EXCEPTION.
DIVISION B TITLE I SUBTITLE E SEC 1185. (a) Quoted: (F) (ii)
Automated Concept:

DRUG being therapeutic equivalent or utilization management applied ;   Drug replaced with generic

Index of Sec 1185. ...
(ii) EXCEPTION. - paragraph (I)
DIVISION B TITLE I SUBTITLE E SEC 1185. (a) Quoted: (F) (ii) (I)
Automated Concept:

DRUG whose labeling including boxed warning required by Food and drugging Administration under section 210.57 of title 21, Code of Federal Regulations  ;  

Index of Sec 1185. ...
(ii) EXCEPTION. - paragraph (II)
DIVISION B TITLE I SUBTITLE E SEC 1185. (a) Quoted: (F) (ii) (II)
Automated Concept:

DRUG required under subsection of section 505-1 of Federal Food, Drug and Cosmetic Act to have Risk Evaluation and Management Strategy including elements under subsection of section  ;  

Index of Sec 1185. ...
Sec 1401. -- Comparative Effectiveness Research.
(2) DUTIES. - paragraph (E)
DIVISION B TITLE IV SUBTITLE A SEC 1401. (a) Quoted: PART D SEC 1181. (a) (2) (E)
Automated Concept:

DRUG and medical device surveillance efforts and other forms of electronic health data ;   Encouraging development and use of clinical registries and development of clinical effectiveness research data networks from electronic health records, post marketing

Index of Sec 1401. ...
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(3) COVERED DRUG, DEVICE, BIOLOGICAL, OR MEDICAL SUPPLY.
Sec 1741. -- Payments To Pharmacists.
(2) DEFINITION OF AMP. - paragraph (C) - paragraph (v)
DIVISION B TITLE VII SUBTITLE E SEC 1741. (a) (2) (C) Quoted: (v)
Automated Concept:

DRUG ;   Price concessions in order to obtain accurate amp for

Index of Sec 1741. ...
Sec 1742. -- Prescription Drug Rebates.
(C) TREATMENT OF NEW FORMULATIONS.
DIVISION B TITLE VII SUBTITLE E SEC 1742. (a) (1) Quoted: (C)
Automated Concept:

DRUG or product ;   Rebate obligation with respect to drug under section to be amount computed under section for new

Index of Sec 1742. ...

Drug or device
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(2) CLINICAL INVESTIGATION.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (2)
Automated Concept:

DRUG or device administered, dispensed or used ;   Term clinical investigation meaning experiment involving one or more human subjects or materials derived from human subjects in which

Index of Sec 1451. ...

Drug: new
Sec 1742. -- Prescription Drug Rebates.
(C) TREATMENT OF NEW FORMULATIONS.
DIVISION B TITLE VII SUBTITLE E SEC 1742. (a) (1) Quoted: (C)
Automated Concept:

DRUG or product ;   Rebate obligation with respect to drug under section to be amount computed under section for new

Index of Sec 1742. ...

Drug: coverage of
Sec 1185. -- Permitting Mid-Year Changes In Enrollment For Formulary Changes That Adversely Impact An Enrollee.
(i) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1185. (a) Quoted: (F) (i)
Automated Concept:

DRUG under plan ;   Formulary of plan materially changed so to reduce coverage of

Index of Sec 1185. ...

Drug: covered
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(2) ACCURACY OF REPORTING.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (c) (2)
Automated Concept:

DRUG, device, biological or medical supply reporting under subsection or hospital or other health care entity reporting physician ownership under subsection ;   Accuracy of information submitted under subsections and making available under paragraph to be responsibility of applicable manufacturer or distributor of covered

Index of Sec 1451. ...
(e) ANNUAL REPORT TO CONGRESS. - paragraph (1)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (e) (1)
Automated Concept:

DRUG ;   Information submitted under section during preceding year aggregated for applicable manufacturer or distributor of covered

Index of Sec 1451. ...
(1) APPLICABLE MANUFACTURER; APPLICABLE DISTRIBUTOR.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (1)
Automated Concept:

DRUG, device or medical supply ;   Term applicable manufacturer meaning manufacturer of covered drug, device, biological or medical supply and term applicable distributor meaning distributor of covered

Index of Sec 1451. ...
(5) DISTRIBUTOR OF A COVERED DRUG, DEVICE, OR MEDICAL SUPPLY.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (5)
Automated Concept:

DRUG, device or medical supply ;   Term distributor of covered drug, device or medical supply meaning entity engaged in marketing or distribution of covered

Index of Sec 1451. ...
(8) MANUFACTURER OF A COVERED DRUG, DEVICE, BIOLOGICAL, OR MEDICAL SUPPLY.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (8)
Automated Concept:

DRUG, device, biological or medical supply ;   Conversion, processing, marketing or distribution of covered

Index of Sec 1451. ...
(C) EXCLUSIONS. - paragraph (vii)
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (f) (9) (C) (vii)
Automated Concept:

DRUG, device, biological or medical supply to covered recipient directly employed and works solely for manufacturer or distributor ;   Compensation paid by manufacturer or distributor of covered

Index of Sec 1451. ...

Drug: covered outpatient
Sec 1741. -- Payments To Pharmacists.
(3) MANUFACTURER REPORTING REQUIREMENTS. - paragraph (A) - paragraph (iv)
DIVISION B TITLE VII SUBTITLE E SEC 1741. (a) (3) (A) Quoted: (iv)
Automated Concept:

DRUG ;   Not later than 30 days after last day of month of rebate period under agreement on manufacturer's total number of units used to calculate monthly average manufacturer price for covered outpatient

Index of Sec 1741. ...

Drug: covered part D
Sec 1181. -- Elimination Of Coverage Gap.
(2) REBATE AGREEMENT.
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (2)
Automated Concept:

DRUG of manufacturer dispensed after December 31, 2010 ;   Amount specified in paragraph for covered part D

Index of Sec 1181. ...
(B) MEDICAID REBATE AMOUNT.
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (3) (B)
Automated Concept:

DRUG provided by manufacturer for rebate period ;   Respect to dosage form and strength of covered part D

Index of Sec 1181. ...
(C) AVERAGE MEDICARE DRUG PROGRAM FULL-BENEFIT DUAL ELIGIBLE REBATE AMOUNT.
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (3) (C)
Automated Concept:

DRUG provided by manufacturer for rebate period ;   Term average Medicare drug program full-benefit dual eligible rebate amount means with respect to dosage form and strength of covered part D

Index of Sec 1181. ...

Drug: generic
Sec 1185. -- Permitting Mid-Year Changes In Enrollment For Formulary Changes That Adversely Impact An Enrollee.
(i) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1185. (a) Quoted: (F) (i)
Automated Concept:

DRUG when so enrolled ;   Case of individual enrolled in prescription drug plan prescribed and using covered part D

Index of Sec 1185. ...
(ii) EXCEPTION.
DIVISION B TITLE I SUBTITLE E SEC 1185. (a) Quoted: (F) (ii)
Automated Concept:

DRUG being therapeutic equivalent or utilization management applied ;   Drug replaced with generic

Index of Sec 1185. ...

Drug: injectable
Sec 1741. -- Payments To Pharmacists.
(2) DEFINITION OF AMP. - paragraph (C) - paragraph (v)
DIVISION B TITLE VII SUBTITLE E SEC 1741. (a) (2) (C) Quoted: (v)
Automated Concept:

ADMINISTRATIVE procedures ;   Infusion or injectable drug or Secretary determining as allowed in Agency

Index of Sec 1741. ...

Drug: new
Sec 1451. -- Reports On Financial Relationships Between Manufacturers And Distributors Of Covered Drugs, Devices, Biologicals, Or Medical Supplies Under Medicare, Medicaid, Or Chip And Physicians And Other Health Care Entities And Between Physicians And Other Health Care Entities.
(4) DELAYED REPORTING FOR PAYMENTS MADE PURSUANT TO PRODUCT DEVELOPMENT AGREEMENTS.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (a) (4)
Automated Concept:

DRUG ;   Case of payment or other transfer of value making to covered recipient by applicable manufacturer or distributor pursuant to product development agreement for services furnished in connection with development of new

Index of Sec 1451. ...
(5) DELAYED REPORTING FOR PAYMENTS MADE PURSUANT TO CLINICAL INVESTIGATIONS.
DIVISION B TITLE IV SUBTITLE D SEC 1451. (a) Quoted: SEC 1128H. (a) (5)
Automated Concept:

DRUG ;   Case of payment or other transfer of value making to covered recipient by applicable manufacturer or distributor in connection with clinical investigation regarding new

Index of Sec 1451. ...

Drug: number of units of dosage and strength of
Sec 1181. -- Elimination Of Coverage Gap.
(C) AVERAGE MEDICARE DRUG PROGRAM FULL-BENEFIT DUAL ELIGIBLE REBATE AMOUNT. - paragraph (i) - paragraph (II)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (3) (C) (i) (II)
Automated Concept:

DRUG dispensed during rebate period to full-benefit dual eligible individuals enrolled in prescription drug plans administered by PDP sponsor or Ma-pd plans administered by Ma-pd organization ;   Number of units of dosage and strength of

Index of Sec 1181. ...

Drug: outpatient
Sec 1181. -- Elimination Of Coverage Gap.
(B) MEDICAID REBATE AMOUNT. - paragraph (ii)

Drug: part D
Sec 1181. -- Elimination Of Coverage Gap.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (1)
Automated Concept:

DRUG not including drug or biologic manufactured by manufacturer not entering and effect rebate agreement described in paragraph ;   Term covered part D

Index of Sec 1181. ...

Drug: qualifying
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(1) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (1)
Automated Concept:

DRUG not including drug or biologic manufactured by manufacturer not entering and effect for qualifying drugs discount agreement described in paragraph ;   Term covered part D

Index of Sec 1182. ...
(C) DRUG-COMPONENT NEGOTIATED PRICE.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (C)
Automated Concept:

DRUG ;   Term drug-component negotiated price means with respect to qualifying

Index of Sec 1182. ...

Drug: recall or withdrawal of
Sec 1185. -- Permitting Mid-Year Changes In Enrollment For Formulary Changes That Adversely Impact An Enrollee.
(ii) EXCEPTION.
DIVISION B TITLE I SUBTITLE E SEC 1185. (a) Quoted: (F) (ii)
Automated Concept:

DRUG issued by Food and drugging Administration ;   Drug removed from formulary of plan because of recall or withdrawal of

Index of Sec 1185. ...

Drug: strength of
Sec 1181. -- Elimination Of Coverage Gap.
(B) REPORT FORM AND CONTENTS. - paragraph (i)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (2) (A) Quoted: (7) (B) (i)
Automated Concept:

DRUG of manufacturer dispensed to full-benefit dual eligible Medicare drug plan enrollees under prescription drug plan operated by PDP sponsor during rebate period ;   Information on total number of units of dosageing, forming and strength of

Index of Sec 1181. ...

Drug: total number of units of dosage and strength of
Sec 1181. -- Elimination Of Coverage Gap.
(C) AVERAGE MEDICARE DRUG PROGRAM FULL-BENEFIT DUAL ELIGIBLE REBATE AMOUNT. - paragraph (ii)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (3) (C) (ii)
Automated Concept:

DRUG dispensed during rebate period to full-benefit dual eligible individuals enrolled in prescription drug plans administered by PDP sponsors and Ma-pd plans administered by Ma-pd organizations ;   Total number of units of dosage and strength of

Index of Sec 1181. ...

Drug: total number of units of dosage form and strengt
Sec 1181. -- Elimination Of Coverage Gap.
(A) IN GENERAL. - paragraph (i)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (3) (A) (i)
Automated Concept:

DRUG so provided and dispensed For which payment being made by PDP sponsor under part D or Ma organization under part C for rebate period ;   Total number of units of dosage form and strength of

Index of Sec 1181. ...

Drug application
Drug application: new
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(i) - paragraph (I)
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (A) (i) (I)
Automated Concept:

DRUG application ;   Including drug product marketed by cross-licensed producers or distributors operating under new

Index of Sec 1182. ...

Drug application: original new
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(i) - paragraph (I)
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (A) (i) (I)
Automated Concept:

DRUG application approved by Food and drugging Administration ;   Drug produced or distributed under original new

Index of Sec 1182. ...
(i) - paragraph (II)
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (A) (i) (II)
Automated Concept:

DRUG application approved by Food and drugging Administration ;   Drug originally marketed under original new

Index of Sec 1182. ...

Drug costs
Sec 1204. -- Enhanced Oversight Relating To Reimbursements For Retroactive Low Income Subsidy Enrollment.
(1) COVERED DRUG COSTS.
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (1)
Automated Concept:

DRUG costs meaning amount ;   Term covered

Index of Sec 1204. ...

Drug costs: covered
Sec 1204. -- Enhanced Oversight Relating To Reimbursements For Retroactive Low Income Subsidy Enrollment.
(a) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1204. (a)
Automated Concept:

DRUG costs incurred by beneficiary during retroactive coverage period of beneficiary in accordance with subsection and case beneficiary described in subsection ;   Beneficiary entitled to reimbursement by plan for covered

Index of Sec 1204. ...
(2) ELIGIBLE THIRD PARTY.
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (2)
Automated Concept:

DRUG costs incurred by beneficiary during retroactive coverage period of beneficiary ;   Organization or other third party owed payment on behalf of beneficiary for covered

Index of Sec 1204. ...

Drug coverage: prescription
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(D) ACTUAL GAP IN COVERAGE.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (D)
Automated Concept:

DRUG coverage occuring between initial coverage limit of subsection and annual out-of-pocket threshold of subsection ;   Term actual gap in coverage meaning gap in prescription

Index of Sec 1182. ...
(E) ORIGINAL GAP IN COVERAGE.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (E)
Automated Concept:

DRUG coverage occurring between initial coverage limit ;   Term original in gap coverage meaning gap in prescription

Index of Sec 1182. ...

Drug means
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(A) QUALIFYING DRUG.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (A)
Automated Concept:

DRUG means with respect to prescription drug plan or Ma-pd plan ;   Term qualifying

Index of Sec 1182. ...

Drug plan
Drug plan: prescription
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(A) QUALIFYING DRUG.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (A)
Automated Concept:

DRUG plan or Ma-pd plan ;   Term qualifying drug means with respect to prescription

Index of Sec 1182. ...
(B) QUALIFYING ENROLLEE.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (B)
Automated Concept:

DRUG plan or Ma-pd plan other than individual being subsidy-eligible individual ;   Term qualifying enrollee meaning individual enrolled in prescription

Index of Sec 1182. ...
Sec 1204. -- Enhanced Oversight Relating To Reimbursements For Retroactive Low Income Subsidy Enrollment.
(1) LINE-ITEM DESCRIPTION.
DIVISION B TITLE II SUBTITLE A SEC 1204. (b) (1)
Automated Concept:

DRUG plan or Ma-pd plan under subsection including line-item description of items For which reimbursement being made ;   Reimbursement making by prescription

Index of Sec 1204. ...
(2) TIMING OF REIMBURSEMENTS.
DIVISION B TITLE II SUBTITLE A SEC 1204. (b) (2)
Automated Concept:

DRUG plan or Ma-pd plan making reimbursement under subsection to retroactive lis enrollment beneficiary with respect to claim ;   Prescription

Index of Sec 1204. ...

Drug plan: case of PDP sponsor of prescription
Sec 1205. -- Intelligent Assignment In Enrollment.
(a) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1205. (a)
Automated Concept:

DRUG plan using formulary ;   Process taking into account extent to which prescription drugging necessary for individual covered in case of PDP sponsor of prescription

Index of Sec 1205. ...

Drug plan: dual eligible Medicare
Sec 1181. -- Elimination Of Coverage Gap.
(C) AVERAGE MEDICARE DRUG PROGRAM FULL-BENEFIT DUAL ELIGIBLE REBATE AMOUNT. - paragraph (i) - paragraph (I)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (3) (C) (i) (I)
Automated Concept:

DRUG plan enrollees and drugs dispensed to PDP and Ma-pd enrollees being not full-benefit dual eligible individuals ;   Rebateing, discounting or other price concession applying equally to drugs dispensed to full-benefit dual eligible Medicare

Index of Sec 1181. ...
(B) REPORT FORM AND CONTENTS. - paragraph (i)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (2) (A) Quoted: (7) (B) (i)
Automated Concept:

DRUG plan enrollees under prescription drug plan operated by PDP sponsor during rebate period ;   Information on total number of units of dosageing, forming and strength of drug of manufacturer dispensed to full-benefit dual eligible Medicare

Index of Sec 1181. ...
(B) REPORT FORM AND CONTENTS. - paragraph (iii)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (2) (A) Quoted: (7) (B) (iii)
Automated Concept:

DRUG plan enrollees ;   Information on extent to which price discounts, price concessions and rebates applying equally to full-benefit dual eligible Medicare drug plan enrollees and PDP enrollees being not full-benefit dual eligible Medicare

Index of Sec 1181. ...

Drug plan: overall quality of prescription
Sec 1205. -- Intelligent Assignment In Enrollment.
(a) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1205. (a)
Automated Concept:

DRUG plan as measured by quality ratings established by Secretary ;   Use of prior authorization or other restrictions on access to coverage of prescription drugs sponsor and overall quality of prescription

Index of Sec 1205. ...

Drug plan: prescription
Sec 1181. -- Elimination Of Coverage Gap.
(A) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (2) (A) Quoted: (7) (A)
Automated Concept:

DRUG plan requiring that sponsor complying with subparagraphs ;   Contract entered with PDP sponsor under part with respect to prescription

Index of Sec 1181. ...
(B) REPORT FORM AND CONTENTS. - paragraph (i)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (2) (A) Quoted: (7) (B) (i)
Automated Concept:

DRUG plan operated by PDP sponsor during rebate period ;   Information on total number of units of dosageing, forming and strength of drug of manufacturer dispensed to full-benefit dual eligible Medicare drug plan enrollees under prescription

Index of Sec 1181. ...
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(4) ADDITIONAL TERMS.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (4)
Automated Concept:

DRUG plan offered by PDP sponsor or Ma-pd plan offered by Ma organization ;   Case of discount provided under subsection with respect to prescription

Index of Sec 1182. ...
Sec 1185. -- Permitting Mid-Year Changes In Enrollment For Formulary Changes That Adversely Impact An Enrollee.
(i) IN GENERAL.
DIVISION B TITLE I SUBTITLE E SEC 1185. (a) Quoted: (F) (i)
Automated Concept:

DRUG plan prescribed and using covered part D drug when so enrolled ;   Case of individual enrolled in prescription

Index of Sec 1185. ...

Drug plan: Secretary and sponsor of prescription
Sec 1204. -- Enhanced Oversight Relating To Reimbursements For Retroactive Low Income Subsidy Enrollment.
(a) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1204. (a)
Automated Concept:

DRUG plan under part D of title XVIII of Social Security Act ;   Case of retroactive lis enrollment beneficiary enrolled under prescription

Index of Sec 1204. ...
(A) IN GENERAL. - paragraph (i)
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (4) (A) (i)
Automated Concept:

DRUG plan under part D of title XVIII of Social Security Act and subsequently becoming eligible as full-benefit dual eligible individual ;   Enrolling in prescription

Index of Sec 1204. ...
(i) IN GENERAL.
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (4) (B) (i)
Automated Concept:

CONTRACT ;   Prescription drug plan offered by sponsor of plan awarding

Index of Sec 1204. ...
(ii) RFP CONTRACT DESCRIBED.
DIVISION B TITLE II SUBTITLE A SEC 1204. (c) (4) (B) (ii)
Automated Concept:

DRUG plan pursuant to Centers for Medicare and Medicaid Services' request for proposals issued on February 17, 2009 relating to Medicare part D retroactive coverage for certain low income beneficiaries ;   Rfp contract described in section being contract entered between Secretary and sponsor of prescription

Index of Sec 1204. ...

Drug plan: prescription
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(B) DISCOUNT AGREEMENT. - paragraph (i)
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (2) (B) (i)
Automated Concept:

DRUG plans and Ma-pd planing instead of State plans under title XIX ;   Discounts to be applied under subsection to prescription

Index of Sec 1182. ...

Drug plan: prescription
Sec 1174. -- Strengthening Audit Authority.
(2) APPLICATION UNDER PART D.
DIVISION B TITLE I SUBTITLE D PART 2 SEC 1174. (b) (2)
Automated Concept:

DRUG plans under part D ;   Provision applying amendment making by paragraph to prescription

Index of Sec 1174. ...
Sec 1181. -- Elimination Of Coverage Gap.
(C) AVERAGE MEDICARE DRUG PROGRAM FULL-BENEFIT DUAL ELIGIBLE REBATE AMOUNT. - paragraph (i) - paragraph (II)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (3) (C) (i) (II)
Automated Concept:

DRUG plans administered by PDP sponsor or Ma-pd plans administered by Ma-pd organization ;   Number of units of dosage and strength of drug dispensed during rebate period to full-benefit dual eligible individuals enrolled in prescription

Index of Sec 1181. ...
(C) AVERAGE MEDICARE DRUG PROGRAM FULL-BENEFIT DUAL ELIGIBLE REBATE AMOUNT. - paragraph (ii)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (3) (C) (ii)
Automated Concept:

DRUG plans administered by PDP sponsors and Ma-pd plans administered by Ma-pd organizations ;   Total number of units of dosage and strength of drug dispensed during rebate period to full-benefit dual eligible individuals enrolled in prescription

Index of Sec 1181. ...

Drug plan sponsors: prescription
Sec 1611. -- Enhanced Penalties For False Statements On Provider Or Supplier Enrollment Applications.
(a) IN GENERAL. - paragraph (4) - paragraph (8)
DIVISION B TITLE VI SUBTITLE B SEC 1611. (a) (4) Quoted: (8)
Automated Concept:

DRUG plan sponsors under part D of title XVIII and entities applying to participate as providers of services or suppliers in managed care organizations and plans ;   Including managed care organizations under title XIX, Medicare Advantage organizations under part C of title XVIII, prescription

Index of Sec 1611. ...

Drug product
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(i) - paragraph (I)
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (A) (i) (I)
Automated Concept:

DRUG application ;   Including drug product marketed by cross-licensed producers or distributors operating under new

Index of Sec 1182. ...

Drug program
Drug program: average Medicare
Sec 1181. -- Elimination Of Coverage Gap.
(B) REPORT FORM AND CONTENTS. - paragraph (iv)
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (2) (A) Quoted: (7) (B) (iv)
Automated Concept:

DRUG program full-benefit dual eligible rebate amount of section and determining amount of rebate required under section and period ;   Secretary determining being necessary to enable Secretary to calculate average Medicare

Index of Sec 1181. ...

Drug program: Medicare prescription
Sec 1203. -- Eliminating Barriers To Enrollment.
(b) DISCLOSURES TO FACILITATE IDENTIFICATION OF INDIVIDUALS LIKELY TO BE INELIGIBLE FOR THE LOW-INCOME ASSISTANCE UNDER THE MEDICARE PRESCRIPTION DRUG PROGRAM TO ASSIST SOCIAL SECURITY ADMINISTRATION'S OUTREACH TO ELIGIBLE INDIVIDUALS.
DIVISION B TITLE II SUBTITLE A SEC 1203. (b)
Automated Concept:

DRUG program ;   Provision authorizing disclosure of return information to facilitate identification of individuals likely to be ineligible for low-income subsidies under Medicare prescription

Index of Sec 1203. ...

Drug program: term average Medicare
Sec 1181. -- Elimination Of Coverage Gap.
(C) AVERAGE MEDICARE DRUG PROGRAM FULL-BENEFIT DUAL ELIGIBLE REBATE AMOUNT.
DIVISION B TITLE I SUBTITLE E SEC 1181. (b) (1) (B) Quoted: (f) (3) (C)
Automated Concept:

DRUG program full-benefit dual eligible rebate amount means with respect to dosage form and strength of covered part D drug provided by manufacturer for rebate period ;   Term average Medicare

Index of Sec 1181. ...

Drug subsidy: low-income prescription
Sec 1801. -- Disclosures To Facilitate Identification Of Individuals Likely To Be Ineligible For The Low-Income Assistance Under The Medicare Prescription Drug Program To Assist Social Security Administration'S Outreach To Eligible Individuals.
(C) RESTRICTION ON INDIVIDUALS FOR WHOM DISCLOSURE MAY BE REQUESTED. - paragraph (i)
DIVISION B TITLE VIII SEC 1801. (a) Quoted: (19) (C) (i)
Automated Concept:

DRUG subsidy under section 1860d-14 of Social Security Act and not applying for subsidy ;   Eligible for low-income prescription

Index of Sec 1801. ...
(D) RESTRICTION ON USE OF DISCLOSED INFORMATION.
DIVISION B TITLE VIII SEC 1801. (a) Quoted: (19) (D)
Automated Concept:

DRUG subsidy under section 1860d-14 of Social Security Act for use in outreach efforts under section 1144 of Social Security Act ;   Return information disclosed under paragraph to be used only by officers and employees of Social Security Administration solely for purposes of identifying individuals likely to be ineligible for low-income prescription

Index of Sec 1801. ...

Drug-component
Drug-component: 50 percent of amount of
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(3) DISCOUNT AMOUNT.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (3)
Automated Concept:

DRUG-component negotiated price for qualifying drugs for period involved ;   Amount of discount specified in paragraph for discount period for plan being equal to 50 percent of amount of

Index of Sec 1182. ...

Drug-component: term
Sec 1182. -- Discounts For Certain Part D Drugs In Original Coverage Gap.
(C) DRUG-COMPONENT NEGOTIATED PRICE.
DIVISION B TITLE I SUBTITLE E SEC 1182. (3) Quoted: (g) (5) (C)
Automated Concept:

DRUG-component negotiated price means with respect to qualifying drug ;   Term

Index of Sec 1182. ...

Durable medical equipment
Sec 1148. -- Durable Medical Equipment Program Improvements.
(a) WAIVER OF SURETY BOND REQUIREMENT.
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1148. (a)
Automated Concept:

PROSTHETICS, orthotics and supplies and issued provider number for 5 years and final adverse action of title 42, Code of Federal Regulations never imposed ;   Requirement for surety bond described in subparagraph not applying in case of pharmacy enrolled under section 1866(j) as supplier of durable medical equipment,

Index of Sec 1148. ...
(c) TREATMENT OF CURRENT ACCREDITATION APPLICATIONS. - paragraph (3) - paragraph (iii)
DIVISION B TITLE I SUBTITLE B PART 3 SEC 1148. (c) (3) Quoted: (iii)
Automated Concept:

PROSTHETICS, orthotics and supplies ;   Requirement for accreditation described in clause not applying for purposes of supplying diabetic testing supplies, canes and crutches in case of pharmacy enrolled under section 1866(j) as supplier of durable medical equipment,

Index of Sec 1148. ...
Sec 1633. -- Required Inclusion Of Payment Modifier For Certain Evaluation And Management Services.
(p) PAYMENT MODIFIER FOR CERTAIN EVALUATION AND MANAGEMENT SERVICES.
DIVISION B TITLE VI SUBTITLE C SEC 1633. Quoted: (p)
Automated Concept:

FRAUD and abuse ;   Furnishing or ordering of durable medical equipment in order to enable better monitoring of claims for payment for additional services under title or ordering, furnishing or prescribing of other items and services determined by Secretary to pose high risk of waste,

Index of Sec 1633. ...
Sec 1638. -- Requirement For Physicians To Provide Documentation On Referrals To Programs At High Risk Of Waste And Abuse.
(a) PHYSICIANS AND OTHER SUPPLIERS. - paragraph (10)
DIVISION B TITLE VI SUBTITLE C SEC 1638. (a) Quoted: (10)
Automated Concept:

CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by physician or supplier under title as specified by Secretary ;   Physician or supplier under section 1866(j) if physician or supplier failing to maintain and provide access to documentation relating to written orders or requests for payment for durable medical equipment,

Index of Sec 1638. ...
(b) PROVIDERS OF SERVICES. - paragraph (3) - paragraph (X)
DIVISION B TITLE VI SUBTITLE C SEC 1638. (b) (3) Quoted: (X)
Automated Concept:

CERTIFICATIONS for home health services or referrals for other items or servicing written or ordered by provider under title as specified by Secretary ;   Maintaining and providing access to documentation relating to written orders or requests for payment for durable medical equipment,

Index of Sec 1638. ...
Sec 1639. -- Face To Face Encounter With Patient Required Before Physicians May Certify Eligibility For Home Health Services Or Durable Medical Equipment Under Medicare.
SEC 1639. -- FACE TO FACE ENCOUNTER WITH PATIENT REQUIRED BEFORE PHYSICIANS MAY CERTIFY ELIGIBILITY FOR HOME HEALTH SERVICES OR DURABLE MEDICAL EQUIPMENT UNDER MEDICARE.
DIVISION B TITLE VI SUBTITLE C SEC 1639.
Automated Concept:

MEDICARE ;   Sec 1639, Face to Face Encounter with patient required before Physicians certifying eligibility for Home health Services or durable medical equipment under

Index of Sec 1639. ...

Duty: established
Sec 1645. -- Conforming Civil Monetary Penalties To False Claims Act Amendments.
SEC 1645. -- CONFORMING CIVIL MONETARY PENALTIES TO FALSE CLAIMS ACT AMENDMENTS. - paragraph (3) - paragraph (E) - paragraph (8)

Economic self-sufficiency
Sec 1713. -- Optional Coverage Of Nurse Home Visitation Services.
(a) IN GENERAL. - paragraph (2) - paragraph (aa) - paragraph (3)
DIVISION B TITLE VII SUBTITLE B SEC 1713. (a) (2) Quoted: (aa) (3)
Automated Concept:

ECONOMIC self-sufficiency, employment advancement, school-readiness and educational achievement or reducing dependence on public assistance ;   Increasing

Index of Sec 1713. ...

Economy: annual
Sec 1103. -- Incorporating Productivity Improvements Into Market Basket Updates That Do Not Already Incorporate Such Improvements.
(a) INPATIENT ACUTE HOSPITALS. - paragraph (1) - paragraph (B) - paragraph (II)
DIVISION B TITLE I SUBTITLE A PART 1 SEC 1103. (a) (1) (B) Quoted: (II)
Automated Concept:

ECONOMY-wide private nonfarm business multi-factor productivity ;   Productivity offset equal to percentage change in 10-year moving average of annual

Index of Sec 1103. ...

Education
Sec 1904. -- Grants To States For Quality Home Visitation Programs For Families With Young Children And Families Expecting Children.
(1) IN GENERAL. - paragraph (A) - paragraph (v) - paragraph (VII)
DIVISION B TITLE IX SEC 1904. Quoted: SUBPART 3 SEC 440. (f) (1) (A) (v) (VII)
Automated Concept:

EDUCATION of children ;   Activities designed to help parents becoming full partners in

Index of Sec 1904. ...
Sec 1635. -- Require Providers And Suppliers To Adopt Programs To Reduce Waste, Fraud, And Abuse.
(2) ESTABLISHMENT OF CORE ELEMENTS.
DIVISION B TITLE VI SUBTITLE C SEC 1635. (a) Quoted: (d) (2)
Automated Concept:

EDUCATION pertaining to fraud, waste and abuse for organization's employees and contractors ;   Effective training and

Index of Sec 1635. ...

Education: medical
Sec 1744. -- Payments For Graduate Medical Education.
(2) SUBMISSION OF INFORMATION. - paragraph (A)
DIVISION B TITLE VII SUBTITLE E SEC 1744. (a) Quoted: (bb) (2) (A)
Automated Concept:

EDUCATION and payments used for graduate medical education ;   Information on total payments for graduate medical

Index of Sec 1744. ...

Education: continuous involvement and
Sec 1722. -- Medical Home Pilot Program.
(d) MEDICALLY FRAGILE CHILDREN.
DIVISION B TITLE VII SUBTITLE C SEC 1722. (d)
Automated Concept:

CHILD'S enrollment ceasing for reason ;   Model ensuring that patient-centered medical home services received by child providing for continuous involvement and education of parent or caregiver and assistance to child in obtaining necessary transitional care if

Index of Sec 1722. ...

Education: medical
Sec 1161. -- Phase-In Of Payment Based On Fee-For-Service Costs.
(2) SPECIFIED AMOUNT.
DIVISION B TITLE I SUBTITLE D PART 1 SEC 1161. (2) Quoted: (n) (2)
Automated Concept:

CAPITATION rates described in subsection ;   Indirect costs of medical education from

Index of Sec 1161. ...
Sec 1503. -- Rules For Counting Resident Time For Didactic And Scholarly Activities And Other Activities.
(4) APPLICATION.
DIVISION B TITLE V SEC 1503. (c) (4)
Automated Concept:

EDUCATION costs under section 1886(h) of Act ;   Jurisdictionally proper appeal pending as of date of enactment of Act on issue of payment for indirect costs of medical education under section 1886(d)(5)(b) of Social Security Act or direct graduate medical

Index of Sec 1503. ...
Sec 1744. -- Payments For Graduate Medical Education.
(1) IN GENERAL.
DIVISION B TITLE VII SUBTITLE E SEC 1744. (a) Quoted: (bb) (1)
Automated Concept:

EDUCATION consistent with subsection whether provided or outside of hospital ;   Term medical assistance including payment for costs of graduate medical

Index of Sec 1744. ...
(2) SUBMISSION OF INFORMATION. - paragraph (A)
DIVISION B TITLE VII SUBTITLE E SEC 1744. (a) Quoted: (bb) (2) (A)
Automated Concept:

EDUCATION ;   Information on total payments for graduate medical education and payments used for graduate medical

Index of Sec 1744. ...
(b) CONFORMING AMENDMENT. - paragraph (3) - paragraph (v)
DIVISION B TITLE VII SUBTITLE E SEC 1744. (b) (3) Quoted: (v)
Automated Concept:

EDUCATION ;   Rates including payment for graduate medical

Index of Sec 1744. ...
(c) EFFECTIVE DATE.
DIVISION B TITLE VII SUBTITLE E SEC 1744. (c)
Automated Concept:

EDUCATION ;   Amendments making by section taking effect on date of enactment of Act Nothing in section to be construed as affecting payments making before date under State plan under title XIX of Social Security Act for graduate medical

Index of Sec 1744. ...

Education: ongoing
Sec 1222. -- Demonstration To Promote Access For Medicare Beneficiaries With Limited English Proficiency By Providing Reimbursement For Culturally And Linguistically Appropriate Services.
(d) ASSURANCES. - paragraph (1)
DIVISION B TITLE II SUBTITLE B SEC 1222. (d) (1)
Automated Concept:

EDUCATION and training in linguistically appropriate service delivery ;   Ensuring that appropriate clinical and support staff receiving ongoing

Index of Sec 1222. ...

Education costs: medical
Sec 1503. -- Rules For Counting Resident Time For Didactic And Scholarly Activities And Other Activities.
(4) APPLICATION.
DIVISION B TITLE V SEC 1503. (c) (4)
Automated Concept:

EDUCATION costs under section 1886(h) of Act ;   Jurisdictionally proper appeal pending as of date of enactment of Act on issue of payment for indirect costs of medical education under section 1886(d)(5)(b) of Social Security Act or direct graduate medical

Index of Sec 1503. ...

Educational achievement
Sec 1713. -- Optional Coverage Of Nurse Home Visitation Services.
(a) IN GENERAL. - paragraph (2) - paragraph (aa) - paragraph (3)
DIVISION B TITLE VII SUBTITLE B SEC 1713. (a) (2) Quoted: (aa) (3)
Automated Concept:

EDUCATIONAL achievement or reducing dependence on public assistance ;   Increasing economic self-sufficiency, employment advancement, school-readiness and

Index of Sec 1713. ...

Educational tool
Sec 1236. -- Demonstration Program On Use Of Patient Decisions Aids.
(2) PATIENT DECISION AID.
DIVISION B TITLE II SUBTITLE C SEC 1236. (h) (2)
Automated Concept:

EDUCATIONAL tool helping patients if appropriate ;   Term patient decision aid meaning

Index of Sec 1236. ...

Electronic versions of Medicare
Sec 1233. -- Advance Care Planning Consultation.
(B) UPDATE OF PAPER AND SUBSEQUENT VERSIONS.
DIVISION B TITLE II SUBTITLE C SEC 1233. (c) (1) (B)
Automated Concept:

ELECTRONIC versions of Medicare ;   Secretary including information described in subparagraph in paper and

Index of Sec 1233. ...

Eligibility
Sec 1905. -- Improved Coordination And Protection For Dual Eligibles.
(c) RESPONSIBILITIES. - paragraph (6)
DIVISION B TITLE IX SEC 1905. Quoted: SEC 1150A. (c) (6)
Automated Concept:

ELIGIBILITY, benefit and cost-sharing assistance available to dual eligibles by State ;   Collection of data and database describing

Index of Sec 1905. ...
Sec 1639. -- Face To Face Encounter With Patient Required Before Physicians May Certify Eligibility For Home Health Services Or Durable Medical Equipment Under Medicare.
SEC 1639. -- FACE TO FACE ENCOUNTER WITH PATIENT REQUIRED BEFORE PHYSICIANS MAY CERTIFY ELIGIBILITY FOR HOME HEALTH SERVICES OR DURABLE MEDICAL EQUIPMENT UNDER MEDICARE.
DIVISION B TITLE VI SUBTITLE C SEC 1639.
Automated Concept:

ELIGIBILITY for Home health Services or durable medical equipment under medicare ;   Sec 1639, Face to Face Encounter with patient required before Physicians certifying

Index of Sec 1639. ...
Sec 1703. -- Chip And Medicaid Maintenance Of Effort.
(A) IN GENERAL.
DIVISION B TITLE VII SUBTITLE A SEC 1703. (b) (1) Quoted: (aa) (2) (A)
Automated Concept:

ELIGIBILITY of individual after first day under following ;   State applying asset or resource test in determining

Index of Sec 1703. ...
Sec 1714. -- State Eligibility Option For Family Planning Services.
(hh) - paragraph (3)
DIVISION B TITLE VII SUBTITLE B SEC 1714. (a) (2) Quoted: (hh) (3)
Automated Concept:

ELIGIBILITY for services under subsection ;   Option of State, purposes of subsection, determining

Index of Sec 1714. ...

Eligibility: Commissioner of
Sec 1702. -- Requirements And Special Rules For Certain Medicaid Eligible Individuals.
(A) NON-TRADITIONAL INDIVIDUALS.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (2) (A)
Automated Concept:

AFFORDABILITY credits under subtitle C of title II of division A of America's Affordable Health Choices acting of 2009 as specified under memorandum ;   Redeterminations of eligibility for individuals unless periodicity of redeterminations being consistent with periodicity for redeterminations by Commissioner of eligibility for

Index of Sec 1702. ...

Eligibility: determination of
Sec 1702. -- Requirements And Special Rules For Certain Medicaid Eligible Individuals.
(ii) PRESUMPTIVE ELIGIBILITY OPTION.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (2) (B) (ii)
Automated Concept:

ELIGIBILITY in same manner ;   State providing for making medical assistance available during presumptive eligibility period and promptly making determination of

Index of Sec 1702. ...

Eligibility: determinations of
Sec 1702. -- Requirements And Special Rules For Certain Medicaid Eligible Individuals.
(3) DETERMINATIONS OF ELIGIBILITY FOR AFFORDABILITY CREDITS.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (3)
Automated Concept:

AFFORDABILITY credits under subtitle C of title II of division A of America's Affordable Health Choices acting of 2009 ;   Commissioner determining that State Medicaid agency having capacity to make determinations of eligibility for

Index of Sec 1702. ...
Sec 1733. -- Requirement Of 12-Month Continuous Coverage Under Certain Chip Programs.
(b) EFFECTIVE DATE.
DIVISION B TITLE VII SUBTITLE D SEC 1733. (b)
Automated Concept:

ELIGIBILITY making after January 1 ;   Amendment making by subsection applying to determinations of

Index of Sec 1733. ...

Eligibility: notice of
Sec 1234. -- Part B Special Enrollment Period And Waiver Of Limited Enrollment Penalty For Tricare Beneficiaries.
(l) - paragraph (4)
DIVISION B TITLE II SUBTITLE C SEC 1234. (a) (1) Quoted: (l) (4)
Automated Concept:

ELIGIBILITY for enrollment during special enrollment period described in paragraph ;   Secretary of Defense establishing method for identifying individuals described in paragraph and providing notice of

Index of Sec 1234. ...

Eligibility: redeterminations of
Sec 1702. -- Requirements And Special Rules For Certain Medicaid Eligible Individuals.
(A) NON-TRADITIONAL INDIVIDUALS.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (2) (A)
Automated Concept:

AFFORDABILITY credits under subtitle C of title II of division A of America's Affordable Health Choices acting of 2009 as specified under memorandum ;   Redeterminations of eligibility for individuals unless periodicity of redeterminations being consistent with periodicity for redeterminations by Commissioner of eligibility for

Index of Sec 1702. ...
(i) REGULAR ENROLLMENT OPTION.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (2) (B) (i)
Automated Concept:

ELIGIBILITY of individual consistent with sectioning and memorandum ;   Redeterminations of

Index of Sec 1702. ...

Eligibility determination
Sec 1702. -- Requirements And Special Rules For Certain Medicaid Eligible Individuals.
(b) CONFORMING AMENDMENTS TO ERROR RATE. - paragraph (1) - paragraph (vi)
DIVISION B TITLE VII SUBTITLE A SEC 1702. (b) (1) Quoted: (vi)
Automated Concept:

ELIGIBILITY determination under subtitle C of title II of division A of America's Affordable Health Choices acting of 2009 ;   Including erroneous payments making being attributable to error in

Index of Sec 1702. ...

Eligibility determination: presumptive
Sec 1702. -- Requirements And Special Rules For Certain Medicaid Eligible Individuals.
(ii) PRESUMPTIVE ELIGIBILITY OPTION.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (2) (B) (ii)
Automated Concept:

ELIGIBILITY determination to maximum extent feasible ;   Individual applied directly to State for assistance excepting that State using income-related information used by Commissioner and provided to State under memorandum in making presumptive

Index of Sec 1702. ...

Eligibility option: continuous
Sec 1733. -- Requirement Of 12-Month Continuous Coverage Under Certain Chip Programs.
(6) REQUIREMENT FOR 12-MONTH CONTINUOUS ELIGIBILITY.
DIVISION B TITLE VII SUBTITLE D SEC 1733. (a) Quoted: (6)
Automated Concept:

ELIGIBILITY option described in section 1902(e) for targeted low-income children whose family income below 200 percent of poverty line ;   Plan providing for implementation under title of 12-month continuous

Index of Sec 1733. ...

Eligibility period: presumptive
Sec 1702. -- Requirements And Special Rules For Certain Medicaid Eligible Individuals.
(ii) PRESUMPTIVE ELIGIBILITY OPTION.
DIVISION B TITLE VII SUBTITLE A SEC 1702. (a) Quoted: SEC 1943. (a) (2) (B) (ii)
Automated Concept:

ELIGIBILITY in same manner ;   State providing for making medical assistance available during presumptive eligibility period and promptly making determination of

Index of Sec 1702. ...
Sec 1714. -- State Eligibility Option For Family Planning Services.
(a) STATE OPTION.
DIVISION B TITLE VII SUBTITLE B SEC 1714. (b) (1) Quoted: SEC 1920C. (a)
Automated Concept:

ELIGIBILITY period ;   State plan approved under section 1902 providing for making medical assistance available to individual described in section 1902( hh during presumptive

Index of Sec 1714. ...
(2) CONFORMING AMENDMENTS. - paragraph (A)
DIVISION B TITLE VII SUBTITLE B SEC 1714. (b) (2) (A)
Automated Concept:

ELIGIBILITY period in accordance with section ;   Providing for making medical assistance available to individuals described in subsection of section 1920c during presumptive