Code of Federal Regulations > Title 42 > Chapter IV > Part 417 - PART 417—HEALTH MAINTENANCE ORGANIZATIONS, COMPETITIVE MEDICAL PLANS, AND HEALTH CARE PREPAYMENT PLANS

U.S. Code of Federal Regulations

Regulations most recently checked for updates: Jan 21, 2026

Subpart A [§ 417.1 - § 417.2] - Subpart A—General Provisions

Subpart B [§ 417.101 - § 417.106] - Subpart B—Qualified Health Maintenance Organizations: Services

Subpart C [§ 417.120 - § 417.126] - Subpart C—Qualified Health Maintenance Organizations: Organization and Operation

Subpart D [§ 417.140 - § 417.144] - Subpart D—Application for Federal Qualification

Subpart E [§ 417.150 - § 417.159] - Subpart E—Inclusion of Qualified Health Maintenance Organizations in Employee Health Benefits Plans

Subpart F [§ 417.160 - § 417.166] - Subpart F—Continued Regulation of Federally Qualified Health Maintenance Organizations

Subpart G - Subparts G-I [Reserved]

Subpart J [§ 417.400 - § 417.418] - Subpart J—Qualifying Conditions for Medicare Contracts

Subpart K [§ 417.420 - § 417.464] - Subpart K—Enrollment, Entitlement, and Disenrollment under Medicare Contract

Subpart L [§ 417.470 - § 417.500] - Subpart L—Medicare Contract Requirements

Subpart M [§ 417.520 - § 417.520] - Subpart M—Change of Ownership and Leasing of Facilities: Effect on Medicare Contract

Subpart N [§ 417.524 - § 417.528] - Subpart N—Medicare Payment to HMOs and CMPs: General Rules

Subpart O [§ 417.530 - § 417.576] - Subpart O—Medicare Payment: Cost Basis

Subpart P [§ 417.580 - § 417.598] - Subpart P—Medicare Payment: Risk Basis

Subpart Q [§ 417.600 - § 417.600] - Subpart Q—Beneficiary Appeals

Subpart R [§ 417.640 - § 417.640] - Subpart R—Medicare Contract Appeals

Subpart S - Subparts S-T [Reserved]

Subpart U [§ 417.800 - § 417.840] - Subpart U—Health Care Prepayment Plans

Subpart V [§ 417.910 - § 417.940] - Subpart V—Administration of Outstanding Loans and Loan Guarantees