ABDOMINAL aortic aneurysm for certain individuals ; Ultrasound screening for
Index of Sec 1305. ...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. ...ACCEPTABLE coverage ; End of period referred in subparagraph being not otherwise covered under
Index of Sec 1702. ...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 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. ...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. ...ACCOUNT recommendations making in report under section 1157(d) ; Taking into
Index of Sec 1158. ...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. ...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. ...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. ...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. ...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. ...ACCOUNT for 50 percent of physician or practitioner's total allowed charges under section 1848 ;
Index of Sec 1303. ...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. ...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. ...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. ...ACCOUNT potential for differences in effectiveness of health care items and services used with various subpopulations ; Designing to take into
Index of Sec 1401. ...ACCOUNT pending resolution of subsequent appeals ; Providing that amounts collected kept in
Index of Sec 1421. ...ACCOUNT pending resolution of subsequent appeals ; Providing that amounts collected kept in
Index of Sec 1421. ...ACCOUNT pending resolution of subsequent appeals ; Providing that amounts collected kept in
Index of Sec 1421. ...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. ...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 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 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. ...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 of acquiring necessary equipment ; Assessment of adequacy of Medicare payment rates for services taking into
Index of Sec 1149. ...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 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 between urban and rural areas ; Recruitment and retention taking into
Index of Sec 1157. ...ACCOUNTING or financial services to facility ; Providing management or administrative services, clinical consulting services or
Index of Sec 1411. ...ACCOUNTING period to recognize expansion of existing Programs ; Use of recent
Index of Sec 1501. ...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. ...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 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 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 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. ...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 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 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 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 ; 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 ; Infusion or injectable drug or Secretary determining as allowed in Agency
Index of Sec 1741. ...ADMINISTRATIVE requirements relating to reimbursements ;
Index of Sec 1204. ...ACCOUNTING or financial services to facility ; Providing management or administrative services, clinical consulting services or
Index of Sec 1411. ...AFFILIATION and affiliation or affiliations of provider or supplier posing serious risk of fraud, waste or abuse ;
Index of Sec 1632. ...AFFILIATION of provider or supplier posing risk of fraud, waste or abuse ; Secretary determining that previous
Index of Sec 1632. ...AFFILIATIONS ; Sec 1757, medicaid and Chip exclusion from participation relating to certain ownership, Control and management
Index of Sec 1757. ...AFFILIATIONS ; Enhancing medicare, medicaid and Chip Program disclosure requirements relating to previous
Index of Sec 1632. ...AFFILIATION agreement ; Filling additional resident slots allocated to other hospitals through
Index of Sec 1501. ...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. ...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. ...AFFORDABILITY credits ; State Medicaid agency determining that Exchange-eligible individual being not eligible for
Index of Sec 1702. ...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 offered by freestanding birth center and otherwise included in plan ; Freestanding birth center services and other
Index of Sec 1724. ...AMBULATORY surgical center to hospital after date of enactment of subsection ; Hospital not converted from
Index of Sec 1156. ...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. ...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. ...AMBULATORY surgical Centers on health Care-associated infections ; Sec 1461, requirement for public reporting by hospitals and
Index of Sec 1461. ...AMBULATORY surgical Centers on health Care-associated infections ; Sec 1138a, requirement for public reporting by hospitals and
Index of Sec 1461. ...AMBULATORY surgical centers during year ; Number and types of health care-associated infections reported under subsection in hospitals and
Index of Sec 1461. ...AMBULATORY surgical centers ; Best practices to eliminate rates of occurrence type of infection in hospitals and
Index of Sec 1461. ...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 as Secretary specifying ; Subparagraph Secretary requiring reporting of additional data relating to quality of services furnished in
Index of Sec 1144. ...ANALYTIC contractors to identify and analyzing services identified under clause ; Secretary using
Index of Sec 1122. ...ANGIOGRAPHIES, angiograms and endoscopies furnished ; Term procedure rooms including rooms in which catheterizations,
Index of Sec 1156. ...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. ...APPOINTMENT of independent monitors under pilot program ; Chain to be responsible for portion of costs associated with
Index of Sec 1422. ...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 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 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. ...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. ...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 and assurance activities conducted under clause ; Coordinating implementation of plan with quality
Index of Sec 1412. ...ASSESSMENT and assurance activities conducted under clause ; Coordinating implementation of plan with quality
Index of Sec 1412. ...ASSESSMENT and assurance activities conducted under clause of sections ; Coordinating implementation of plan with quality
Index of Sec 1412. ...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 for dual eligibles to determine whether additional informational materials or outreach ;
Index of Sec 1905. ...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 on costs of home infusion therapy to be used to construct payment mechanisms in Medicare program ;
Index of Sec 1143. ...ASSESSMENT of following with respect to adjustment factors ; Study including evaluation and
Index of Sec 1157. ...ASSET or resource test in determining eligibility of individual after first day under following ; State applying
Index of Sec 1703. ...ASSET or resource test described in subparagraph waived ; Provisions of title preventing waiver of
Index of Sec 1703. ...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 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. ...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 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. ...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. ...DRUG plan or Ma-pd plan making reimbursement under subsection to retroactive lis enrollment beneficiary with respect to claim ; Prescription
Index of Sec 1204. ...BENEFICIARY filing claim with plan ; Date on which
Index of Sec 1204. ...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. ...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. ...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. ...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. ...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. ...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. ...BENEFICIARY meaning high need beneficiary being generally within upper 50th percentile of Medicare beneficiaries ; Term targeted high need
Index of Sec 1302. ...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. ...BENEFICIARY meaning individual requiring regular medical monitoring, advising or treatment ; Term high need
Index of Sec 1302. ...RISK-adjustment in determining amount of per beneficiary per month payment under paragraph ; Use appropriate
Index of Sec 1302. ...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. ...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 described in section 1860d-2(b)(2) ; Elimination of
Index of Sec 1202. ...BENEFICIARY data ; Need and feasibility of including further gradations of diseases or conditions and multiple years of
Index of Sec 1167. ...BENEFICIARY payment ; Discount not to be applied against negotiated price for purpose of calculating
Index of Sec 1182. ...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 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 ; Friends or other persons untrained in interpretation or translation and grantee documenting request in
Index of Sec 1222. ...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 or competent interpreter or translation services ; Payments to be provided under section only to grantees utilizing competent
Index of Sec 1222. ...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. ...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. ...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. ...INFORMATION during year ; Biological or medical supply submitting
Index of Sec 1451. ...DISTRIBUTION of covered drug, device, biological or medical supply ; Conversion, processing, marketing or
Index of Sec 1451. ...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. ...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. ...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 ; 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 screening tests ; Colorectal
Index of Sec 1305. ...CANCER screening Tests regardless of coding, subsequent diagnosis or ancillary Tissue removal ; Sec 1306, waiver of deductible for colorectal
Index of Sec 1306. ...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 screening tests ; Prostate
Index of Sec 1305. ...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 ; Requirements relating to surety bonds, liability insurance or minimum
Index of Sec 1412. ...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. ...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 described in subsection ; Indirect costs of medical education from
Index of Sec 1161. ...ANGIOGRAPHIES, angiograms and endoscopies furnished ; Term procedure rooms including rooms in which catheterizations,
Index of Sec 1156. ...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. ...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 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. ...CERTIFICATION of program ; Lieu of terminating
Index of Sec 1614. ...CERTIFICATION of medical practices as meeting standards ; Initially providing for review and
Index of Sec 1302. ...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. ...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 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 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. ...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. ...CERTIFICATIONS and referrals making after January 1 ; Amendments making by section applying to orders,
Index of Sec 1638. ...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 making respecting facility during 3 preceding years available for individual to review upon request ; Reports with respect to surveys,
Index of Sec 1413. ...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. ...CERTIFICATIONS making after July 1 ; Amendments making by section applying to written orders and
Index of Sec 1637. ...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. ...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 ; Links to State Internet websites with information regarding State survey and
Index of Sec 1413. ...CERTIFICATION programs ; Links to State Internet websites with information regarding State survey and
Index of Sec 1413. ...CHARITY care ; Kind items used for provision of
Index of Sec 1451. ...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 maltreatment ; Effect of home visitation programs on child and parent outcomes including
Index of Sec 1904. ...CHILD health and development ; Reducing abuse and neglect and improving
Index of Sec 1904. ...CHILD health and pregnancy outcomes or increasing birth intervals between pregnancies ; Improving maternal or
Index of Sec 1713. ...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. ...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-related assistance under State child health plan referred in paragraph ; Eligible for
Index of Sec 1703. ...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. ...CHILD health plan including description of procedures to be used by State ; State
Index of Sec 1631. ...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. ...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. ...CHILD health plan referred in paragraph ; Eligible for child health assistance or pregnancy-related assistance under State
Index of Sec 1703. ...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 Plan ; Sec 1756, termination of Provider participation under medicaid and Chip if terminated under medicare or other State Plan or
Index of Sec 1756. ...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. ...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. ...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 in criminal justice system ; Improving family stability or reducing maternal and
Index of Sec 1713. ...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. ...CHILD maltreatment ; Effect of home visitation programs on child and parent outcomes including
Index of Sec 1904. ...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. ...HEALTH condition of individual including diagnosis of chronic ; Significant change in
Index of Sec 1233. ...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 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 ; Measures of health functioning and survival for patients with
Index of Sec 1162. ...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, transitional care services, care plan ; Teaching self-care skills for managing
Index of Sec 1302. ...CITIZENSHIP of parties and jurisdiction to grant complete relief ; Jurisdiction over action without regard to amount in controversy or
Index of Sec 1415. ...CITIZENSHIP of parties and jurisdiction to grant complete relief ; Jurisdiction over action without regard to amount in controversy or
Index of Sec 1415. ...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. ...ADMINISTRATIVE violations under Act and promoting quality of care ; Effective in preventing and detecting criminal, civil and
Index of Sec 1412. ...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. ...ADMINISTRATIVE violations under Act ; Propensity to engage in criminal, civil and
Index of Sec 1412. ...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. ...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. ...ADMINISTRATIVE violations under Act and promoting quality of care ; Effective in preventing and detecting criminal, civil and
Index of Sec 1412. ...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. ...ADMINISTRATIVE violations under Act ; Propensity to engage in criminal, civil and
Index of Sec 1412. ...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. ...ADMINISTRATIVE proceeding ; Discovery or admissibility of information described in section in criminal, civil or
Index of Sec 1451. ...CRIMINAL sanctions involving same claim if determined later ; Applicable interests, fines and specialties or civil or
Index of Sec 1641. ...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. ...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. ...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. ...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. ...CIVIL money penalties in amount not to exceed $10,000 for day of noncompliance or not to exceed $25,000 ;
Index of Sec 1614. ...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. ...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. ...CIVIL money penalty imposed under clause ; Case of
Index of Sec 1421. ...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. ...CIVIL money penalty imposed under subparagraph ; Case of
Index of Sec 1421. ...CIVIL money penalty in amount not to exceed $10,000 for daying or instance of noncompliance ; Secretary imposing
Index of Sec 1421. ...CIVIL money penalty imposed under clause ; Case of
Index of Sec 1421. ...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. ...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. ...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. ...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. ...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 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. ...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 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 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. ...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 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 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. ...CLASSIFIATIONS system implemented to apply to services furnished during fiscal year beginning with fiscal year 2011 ; Future skilled nursing facility
Index of Sec 1111. ...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. ...ACCOUNTING or financial services to facility ; Providing management or administrative services, clinical consulting services or
Index of Sec 1411. ...EDUCATION and training in linguistically appropriate service delivery ; Ensuring that appropriate clinical and support staff receiving ongoing
Index of Sec 1222. ...CLINICAL care ; Other health care practitioners engaged in
Index of Sec 1401. ...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. ...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 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 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. ...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. ...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 ; Delaying reporting for payments making PURSUANT to
Index of Sec 1451. ...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 advisory panel for research priority determined under subparagraph ; Appointing
Index of Sec 1401. ...CLINICAL perspective advisory panel described in paragraph ; Appointing members of Commission or
Index of Sec 1401. ...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. ...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. ...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. ...CLINICAL perspective advisory panel described in paragraph 2(h) essential expertise ; Secretary determining necessary to afford Commission or
Index of Sec 1401. ...CLINICAL perspective advisory panel meeting ; Participating as non-voting member with respect to particular matter considered in Commission or
Index of Sec 1401. ...CLINICAL perspective advisory panel meeting ; Participating as voting member with respect to particular matter considered in Commission or
Index of Sec 1401. ...CLINICAL perspective advisory panel receiving waiver ; No more than two nonvoting members of
Index of Sec 1401. ...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 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 endorsed by entity with contract with Secretary under section 1890(a) ; Secretary providing preference to
Index of Sec 1162. ...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 including original research conducted subsequent to date of enactment of section ; Conduct and support systematic reviews of
Index of Sec 1401. ...CLINICAL research ; Separately listed information as funding for
Index of Sec 1451. ...MARRIAGE and family therapy ; Obtaining degree performed 2 years of clinical supervised experience in
Index of Sec 1308. ...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. ...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. ...CANCER screening Tests regardless of coding, subsequent diagnosis or ancillary Tissue removal ; Sec 1306, waiver of deductible for colorectal
Index of Sec 1306. ...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 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 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 and studies conducted by Center under subsection ; Make recommendations for priority for periodic reviews of previous
Index of Sec 1401. ...COMPARATIVE effectiveness studies and using methodologies appropriately ; Continuously developing rigorous scientific methodologies for conducting
Index of Sec 1401. ...COMPARATIVE effectiveness studies reviewed by Commission ; Ensuring that comments from patients regarding proposed
Index of Sec 1401. ...COMPENSATION ; Providing transportation and subsistence for persons serving without
Index of Sec 1401. ...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. ...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 ; 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 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. ...COMPLIANCE with requirements ; Secretary using unannounced site reviews of hospitals and audits to verify
Index of Sec 1156. ...COMPLIANCE ; Secretary establishing terming and conditioning of agreement including terming and conditions relating to
Index of Sec 1182. ...COMPLIANCE with standards ; Organization taking reasonable steps to achieve
Index of Sec 1412. ...COMPLIANCE with standards ; Organization taking reasonable steps to achieve
Index of Sec 1412. ...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. ...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. ...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. ...COMPLIANCE with requirements ; Secretary determining that hospice program certified for participation under title in
Index of Sec 1614. ...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 with subsection ; Report including discussion of Center's
Index of Sec 1401. ...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 containing core elements established under paragraph ; Establish
Index of Sec 1635. ...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 ; Promulgating regulations for effective compliance and ethics program for operating organizations including model
Index of Sec 1412. ...COMPLIANCE program ; Developing regulations for effective compliance and ethics program for operating organizations including model
Index of Sec 1412. ...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. ...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 making with respect to use of data under section ; Dissemination of which violating privacy of research participants or violating
Index of Sec 1401. ...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 involved ; $50,000 for violation described in section committed in furtherance of
Index of Sec 1645. ...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. ...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. ...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. ...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. ...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. ...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. ...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. ...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. ...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 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 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 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 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 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 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. ...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. ...CONTRACT with Secretary under section 1890(a) ; Secretary providing preference to clinical quality measures endorsed by entity with
Index of Sec 1162. ...CONTRACT with Ma organization under section including terms informing organization of provisions in subsection ; Secretary requiring that
Index of Sec 1174. ...CONTRACT entered with PDP sponsor under part with respect to prescription drug plan requiring that sponsor complying with subparagraphs ;
Index of Sec 1181. ...CONTRACT ; Prescription drug plan offered by sponsor of plan awarding
Index of Sec 1204. ...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. ...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. ...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. ...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. ...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. ...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. ...CONTRACT with Secretary to participate in conduct of program ; Independent monitor entering into
Index of Sec 1422. ...CONTRACT with Secretary under section 1890 ; Term consensus-based entity meaning entity with
Index of Sec 1441. ...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. ...CONTRACT provided under section 1890 ; Recommendations to be included in transmissions consensus-based entity makes to Secretary under
Index of Sec 1443. ...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. ...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. ...CONTRACT ; Contract requiring Ma organization or PDP sponsor to require provider of services under
Index of Sec 1636. ...CONTRACT providing that entity reporting to State ;
Index of Sec 1743. ...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 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 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 if plan failing to have medical loss ratio for 5 consecutive contract years ; Secretary terminating plan
Index of Sec 1173. ...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 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 ; 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 described in clause ; Pursuant to rfp
Index of Sec 1204. ...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 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. ...CONTRACTS or making other arrangements ; Entering into
Index of Sec 1401. ...CONTRACTS entered or renewed after July 1 ; Amendments making by subsection applying to
Index of Sec 1755. ...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 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 ; Secretary not permitting enrollment of new enrollees under plan for coverage during second succeeding
Index of Sec 1173. ...CONTRACT year beginning in 2011 and subsequent contract year ;
Index of Sec 1634. ...CONTRACT year beginning in 2011 and subsequent contract year ;
Index of Sec 1752. ...CONTRACT year ; Contract year beginning in 2011 and subsequent
Index of Sec 1634. ...CONTRACT year ; Contract year beginning in 2011 and subsequent
Index of Sec 1752. ...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. ...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. ...CONTRACT years beginning after January 1 ; Amendments making by section applying to bids for
Index of Sec 1175. ...CONTRACT years beginning with 2010 ; Amendments making by section applying for
Index of Sec 1183. ...CONTRACT years beginning with 2012 ; Amendment making by subsection taking effect for
Index of Sec 1205. ...CONTRACT years ; Secretary terminating plan contract if plan failing to have medical loss ratio for 5 consecutive
Index of Sec 1173. ...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. ...INTEREST in corporation being equal or exceeding 5 percent ; Shareholders of corporation having ownership
Index of Sec 1411. ...INTEREST in corporation being equal or exceeding 5 percent ; Shareholders of corporation having ownership
Index of Sec 1411. ...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. ...ADMINISTRATIVE violations under Act and promoting quality of care ; Effective in preventing and detecting criminal, civil and
Index of Sec 1412. ...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. ...ADMINISTRATIVE violations under Act ; Propensity to engage in criminal, civil and
Index of Sec 1412. ...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. ...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. ...ADMINISTRATIVE violations under Act and promoting quality of care ; Effective in preventing and detecting criminal, civil and
Index of Sec 1412. ...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. ...ADMINISTRATIVE violations under Act ; Propensity to engage in criminal, civil and
Index of Sec 1412. ...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. ...ADMINISTRATIVE proceeding ; Discovery or admissibility of information described in section in criminal, civil or
Index of Sec 1451. ...CRIMINAL justice system ; Improving family stability or reducing maternal and child involvement in
Index of Sec 1713. ...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 ; 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. ...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. ...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. ...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. ...JEOPARDY ; Case of deficiency where facility cited for actual harm or immediate
Index of Sec 1421. ...JEOPARDY ; Case of deficiency where facility cited for actual harm or immediate
Index of Sec 1421. ...JEOPARDY ; Case of deficiency where facility cited for actual harm or immediate
Index of Sec 1421. ...JEOPARDY ; Case of deficiency where facility cited for actual harm or immediate
Index of Sec 1421. ...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, 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. ...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 training and resident abuse prevention training after curriculum ;
Index of Sec 1431. ...DEMENTIA management training and resident abuse prevention training after curriculum ;
Index of Sec 1431. ...SOCIAL ; Skills to recognize and seek help for issues related to health, developmental delays and
Index of Sec 1904. ...DIABETES screening tests ;
Index of Sec 1305. ...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. ...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 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 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 based on capabilities of independent patient-centered medical home ; Allowing for
Index of Sec 1302. ...DISCHARGE ; Base operating DRG payment amount for
Index of Sec 1151. ...DISCHARGE if subsection not ; Payment amount otherwise to be made under subsection for
Index of Sec 1151. ...DISCHARGE relating to applicable condition ;
Index of Sec 1151. ...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. ...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. ...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. ...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 ; Admission of individual to same or another applicable hospital within time period specified by Secretary from date of
Index of Sec 1151. ...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 by amount equal to product ; Secretary reducing payments otherwise to be made to hospital under subsection
Index of Sec 1151. ...DISCHARGES for hospital ; Annual percentage increase factor applying to base rate for
Index of Sec 1103. ...DISCHARGES for hospital or unit ; Annual percentage increase factor applying to base rate for
Index of Sec 1103. ...DISCHARGES from applicable hospital occurring during fiscal year beginning after October 1 ; Respect to payment for
Index of Sec 1151. ...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. ...DISCHARGES occurring after January 1 ; Amendments making by section applying to
Index of Sec 1751. ...DISCHARGES or services furnished after first day of fiscal year or rate year beginning after October 1 ; Subparagraph applying to
Index of Sec 1151. ...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. ...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 as appropriate ; Standards to be consistently enforced through appropriate
Index of Sec 1412. ...DISCIPLINARY mechanisms as appropriate ; Standards to be consistently enforced through appropriate
Index of Sec 1412. ...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 ; Term facility meaning
Index of Sec 1411. ...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. ...DISCLOSURE or reporting of information not of type required to be disclosed or reported under section ;
Index of Sec 1451. ...DISCLOSURE or reporting of type of information required to be disclosed or reported under section to Federal ;
Index of Sec 1451. ...DISCLOSURE of ownership and additional DISCLOSABLE partying information ; Requiring
Index of Sec 1411. ...DISCLOSURE of ownership and additional DISCLOSABLE partying information ; Requiring
Index of Sec 1411. ...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. ...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. ...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. ...DISCLOSURES making after date being 12 months after date of enactment of Act ; Amendments making by section applying to
Index of Sec 1801. ...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 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. ...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 ; 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. ...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 using latest available data as estimated by Secretary ; Eligible to receive $10,000,000 or more in
Index of Sec 1151. ...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. ...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. ...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. ...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 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 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. ...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 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. ...DISTRIBUTION of covered drug, device, biological or medical supply ; Conversion, processing, marketing or
Index of Sec 1451. ...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 of Medicare dss to compensate for higher Medicare costs associated with serving low-income beneficiaries ; Appropriate amount and
Index of Sec 1112. ...DISTRIBUTION of Medicare dss to hospitals given continued uncompensated care costs ; Appropriate amount and
Index of Sec 1112. ...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. ...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. ...CERTIFICATION as marriage and family therapist pursuant to State law ; Possessing master or doctoral degree qualifying for licensure or
Index of Sec 1308. ...DOCUMENTATION on Referrals to Programs at high Risk of wasting and abusing ; Sec 1638, requirement for Physicians to provide
Index of Sec 1638. ...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. ...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 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 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. ...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. ...DRUG ; Sponsor or plan providing discount to enrollee at time enrollee paying for
Index of Sec 1182. ...DRUG application approved by Food and drugging Administration ; Drug produced or distributed under original new
Index of Sec 1182. ...DRUG application approved by Food and drugging Administration ; Drug originally marketed under original new
Index of Sec 1182. ...DRUG being therapeutic equivalent or utilization management applied ; Drug replaced with generic
Index of Sec 1185. ...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. ...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. ...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. ...DRUG ; Term covered means with respect to
Index of Sec 1451. ...DRUG ; Price concessions in order to obtain accurate amp for
Index of Sec 1741. ...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 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 or product ; Rebate obligation with respect to drug under section to be amount computed under section for new
Index of Sec 1742. ...DRUG under plan ; Formulary of plan materially changed so to reduce coverage of
Index of Sec 1185. ...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. ...DRUG ; Information submitted under section during preceding year aggregated for applicable manufacturer or distributor of covered
Index of Sec 1451. ...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. ...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. ...DRUG, device, biological or medical supply ; Conversion, processing, marketing or distribution of covered
Index of Sec 1451. ...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 ; 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 of manufacturer dispensed after December 31, 2010 ; Amount specified in paragraph for covered part D
Index of Sec 1181. ...DRUG provided by manufacturer for rebate period ; Respect to dosage form and strength of covered part D
Index of Sec 1181. ...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 when so enrolled ; Case of individual enrolled in prescription drug plan prescribed and using covered part D
Index of Sec 1185. ...DRUG being therapeutic equivalent or utilization management applied ; Drug replaced with generic
Index of Sec 1185. ...ADMINISTRATIVE procedures ; Infusion or injectable drug or Secretary determining as allowed in Agency
Index of Sec 1741. ...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. ...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 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 ; Case of other covered outpatient
Index of Sec 1181. ...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 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. ...DRUG ; Term drug-component negotiated price means with respect to qualifying
Index of Sec 1182. ...DRUG issued by Food and drugging Administration ; Drug removed from formulary of plan because of recall or withdrawal of
Index of Sec 1185. ...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 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 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 ; Including drug product marketed by cross-licensed producers or distributors operating under new
Index of Sec 1182. ...DRUG application approved by Food and drugging Administration ; Drug produced or distributed under original new
Index of Sec 1182. ...DRUG application approved by Food and drugging Administration ; Drug originally marketed under original new
Index of Sec 1182. ...DRUG costs meaning amount ; Term covered
Index of Sec 1204. ...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. ...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 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. ...DRUG coverage occurring between initial coverage limit ; Term original in gap coverage meaning gap in prescription
Index of Sec 1182. ...DRUG means with respect to prescription drug plan or Ma-pd plan ; Term qualifying
Index of Sec 1182. ...DRUG plan or Ma-pd plan ; Term qualifying drug means with respect to prescription
Index of Sec 1182. ...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. ...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. ...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 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 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. ...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. ...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 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 requiring that sponsor complying with subparagraphs ; Contract entered with PDP sponsor under part with respect to prescription
Index of Sec 1181. ...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. ...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. ...DRUG plan prescribed and using covered part D drug when so enrolled ; Case of individual enrolled in prescription
Index of Sec 1185. ...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. ...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. ...CONTRACT ; Prescription drug plan offered by sponsor of plan awarding
Index of Sec 1204. ...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 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 plans under part D ; Provision applying amendment making by paragraph to prescription
Index of Sec 1174. ...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. ...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 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 application ; Including drug product marketed by cross-licensed producers or distributors operating under new
Index of Sec 1182. ...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 ; 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 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 under section 1860d-14 of Social Security Act and not applying for subsidy ; Eligible for low-income prescription
Index of Sec 1801. ...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 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 negotiated price means with respect to qualifying drug ; Term
Index of Sec 1182. ...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. ...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. ...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. ...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. ...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. ...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 ; Term obligation meaning established
Index of Sec 1645. ...ECONOMIC self-sufficiency, employment advancement, school-readiness and educational achievement or reducing dependence on public assistance ; Increasing
Index of Sec 1713. ...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 of children ; Activities designed to help parents becoming full partners in
Index of Sec 1904. ...EDUCATION pertaining to fraud, waste and abuse for organization's employees and contractors ; Effective training and
Index of Sec 1635. ...EDUCATION and payments used for graduate medical education ; Information on total payments for graduate medical
Index of Sec 1744. ...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. ...CAPITATION rates described in subsection ; Indirect costs of medical education from
Index of Sec 1161. ...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. ...EDUCATION consistent with subsection whether provided or outside of hospital ; Term medical assistance including payment for costs of graduate medical
Index of Sec 1744. ...EDUCATION ; Information on total payments for graduate medical education and payments used for graduate medical
Index of Sec 1744. ...EDUCATION ; Rates including payment for graduate medical
Index of Sec 1744. ...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 and training in linguistically appropriate service delivery ; Ensuring that appropriate clinical and support staff receiving ongoing
Index of Sec 1222. ...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 or reducing dependence on public assistance ; Increasing economic self-sufficiency, employment advancement, school-readiness and
Index of Sec 1713. ...EDUCATIONAL tool helping patients if appropriate ; Term patient decision aid meaning
Index of Sec 1236. ...ELECTRONIC versions of Medicare ; Secretary including information described in subparagraph in paper and
Index of Sec 1233. ...ELIGIBILITY, benefit and cost-sharing assistance available to dual eligibles by State ; Collection of data and database describing
Index of Sec 1905. ...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. ...ELIGIBILITY of individual after first day under following ; State applying asset or resource test in determining
Index of Sec 1703. ...ELIGIBILITY for services under subsection ; Option of State, purposes of subsection, determining
Index of Sec 1714. ...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 in same manner ; State providing for making medical assistance available during presumptive eligibility period and promptly making determination of
Index of Sec 1702. ...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. ...ELIGIBILITY making after January 1 ; Amendment making by subsection applying to determinations of
Index of Sec 1733. ...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. ...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 of individual consistent with sectioning and memorandum ; Redeterminations of
Index of Sec 1702. ...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 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 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 in same manner ; State providing for making medical assistance available during presumptive eligibility period and promptly making determination of
Index of Sec 1702. ...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. ...ELIGIBILITY period in accordance with section ; Providing for making medical assistance available to individuals described in subsection of section 1920c during presumptive