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Medicare (Title XVIII of the Social Security Act)
Contracts with Medicare+Choice Organizations

Fri, 2012-04-27 14:32 — healthinfolaw_admin


Contracts with Medicare+Choice Organizations415

 

Each contract with a Medicaid + Choice Organization shall provide that the Secretary shall have the right to inspect or otherwise evaluate the quality, appropriateness and timeliness of services performed under the contract.416  In conjunction with this periodic audit, the Secretary will conduct a review to ensure that the organization is meeting the requirements of 1859(f)(5).417

 

Footnotes

  • 415. Social Security Act § 1857, 42 U.S.C. 1395w-27.
  • 416. Social Security Act § 1857(d)(2)(A), 42 U.S.C. 1395w-27(d)(2)(A).
  • 417. Social Security Act § 1857(d)(6), 42 U.S.C. 1395w-27(d)(6).

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