Code of Federal Regulations: Containing a Codification of Documents of General Applicability and Future Effect as of December 31, 1948, with Ancillaries and IndexDivision of the Federal Register, the National Archives, 2000 - Administrative law Special edition of the Federal Register, containing a codification of documents of general applicability and future effect ... with ancillaries. |
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Page 46
... cost - sharing and reimbursement procedures currently applicable under the basic CHAMPUS . Savings will be realized ... Cost - Sharing . Bene- ficiary cost - sharing under the Partner- ship Program is outlined in §199.4 ( f ) ( 5 ) of ...
... cost - sharing and reimbursement procedures currently applicable under the basic CHAMPUS . Savings will be realized ... Cost - Sharing . Bene- ficiary cost - sharing under the Partner- ship Program is outlined in §199.4 ( f ) ( 5 ) of ...
Page 48
... cost . The CHAMPUS - deter- mined level of payment to hospitals or other insitutions , based on one of the approved reimbursement methods set fourth in §199.14 of this part . Allowable cost may also be referred to as the CHAMPUS ...
... cost . The CHAMPUS - deter- mined level of payment to hospitals or other insitutions , based on one of the approved reimbursement methods set fourth in §199.14 of this part . Allowable cost may also be referred to as the CHAMPUS ...
Page 50
... cost - sharing amounts , or , when a provider does not submit a claim on a participating basis on be- half of the beneficiary , amounts above the CHAMPUS - determined allowable cost or charge . Beneficiary liability also includes any ...
... cost - sharing amounts , or , when a provider does not submit a claim on a participating basis on be- half of the beneficiary , amounts above the CHAMPUS - determined allowable cost or charge . Beneficiary liability also includes any ...
Page 66
... cost - shares than those imposed by law , or that waives the legally imposed deductibles or cost - shares . ( 2 ) A supplemental insurance plan of- fered by a Health Maintenance Organi- zation ( HMO ) must meet all of the fol- lowing ...
... cost - shares than those imposed by law , or that waives the legally imposed deductibles or cost - shares . ( 2 ) A supplemental insurance plan of- fered by a Health Maintenance Organi- zation ( HMO ) must meet all of the fol- lowing ...
Page 67
... cost shar- ing ) , or from any other CHAMPUS - au- thorized provider ( with standard cost sharing ) . TRICARE prime plan . The health care option , provided as part of the TRICARE program under § 199.17 , under which beneficiaries ...
... cost shar- ing ) , or from any other CHAMPUS - au- thorized provider ( with standard cost sharing ) . TRICARE prime plan . The health care option , provided as part of the TRICARE program under § 199.17 , under which beneficiaries ...
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Common terms and phrases
action active duty members administrative admission agency agreement amount ance applicable appropriate approved Assistant Secretary authorized CHAMPUS beneficiaries CHAMPUS benefits CHAMPUS claims charge civilian clinical cluding contract contractor cost cost-sharing coverage credit union Dental Plan Department of Defense designee determination Director DoD Components DoD Directive DoD UCNI DRG-based durable medical equipment eligible enrollment established facility Federal fense ficiary funds gram hospice care hospital ical implementation individual inpatient installation institution Medicare ment mental health Military Departments NORAD nursing operations paragraph partial hospitalization participation patient payment system person PFPWD physician procedures professional provider purposes pursuant quired regulations reimbursement request responsible Secretary of Defense sion specific sponsor standards Stars and Stripes termination thorized tion tive treatment TRICARE U.S. Army Uniformed Services United United States Code vider
Popular passages
Page 67 - veteran" means a person who served in the active military, naval, or air service, and who was discharged or released therefrom under conditions other than dishonorable.
Page 13 - ... submission to such conduct is made either explicitly or implicitly a term or condition of an individual's employment, (2) submission to or rejection of such conduct by an individual is used as the basis for employment decisions affecting such individual...
Page 553 - Directive applies to the Office of the Secretary of Defense, the Military Departments, the Organization of the Joint Chiefs of Staff, the Unified and Specified Commands, and the Defense Agencies (hereafter referred to as "DoD Components").
Page 41 - Definition of terms used in this part. (a) "uniformed services" means the Army, the Navy, the Air Force, the Marine Corps, the Coast Guard, the Commissioned Corps of the Coast and Geodetic Survey, and the Commissioned Corps of the Public Health Service. (b) "Member of a uniformed service...
Page 621 - Basic research is that type of research which is directed toward increase of knowledge in science. It is research where the primary aim of the investigator is a fuller knowledge or understanding of the subject under study, rather than a practical application thereof.
Page 375 - IRB review of research. (a) An IRB shall review and have authority to approve, require modifications in (to secure approval), or disapprove all research activities covered by this policy.
Page 375 - IRB shall notify investigators and the institution in writing of its decision to approve or disapprove the proposed research activity, or of modifications required to secure IRB approval of the research activity. If the IRB decides to disapprove a research activity, it shall include in its written notification a statement of the reasons for its decision and give the investigator an opportunity to respond in person or in writing. (e) An IRB shall conduct continuing review of research covered by these...
Page 32 - Restrict an individual in any way in the enjoyment of any advantage or privilege enjoyed by others receiving any service, financial aid, or other benefit under the program...
Page 35 - Department official or his designee during normal business hours to such of its books, records, accounts, and other sources of information, and its facilities as may be pertinent to ascertain compliance with this part. Where any information required of a recipient is in the exclusive possession of any other...
Page 501 - ... (6) disclose information of a personal nature where disclosure would constitute a clearly unwarranted invasion of personal privacy; (7) disclose investigatory records compiled for law enforcement purposes, or information which if written would be contained in such records, but only to the extent that the production of such records or information would (A) interfere with enforcement proceedings...