Title 42--Public Health

CHAPTER IV--HEALTH CARE FINANCING ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES

PART 447--PAYMENTS FOR SERVICES

TEXT PDF447.1 Purpose.
TEXT PDF447.10 Prohibition against reassignment of provider claims.
TEXT PDF447.15 Acceptance of State payment as payment in full.
TEXT PDF447.20 Provider restrictions: State plan requirements.
TEXT PDF447.21 Reduction of payments to providers.
TEXT PDF447.25 Direct payments to certain recipients for physicians' or dentists' services.
TEXT PDF447.30 Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments.
TEXT PDF447.31 Withholding Medicare payments to recover Medicaid overpayments.
TEXT PDF447.40 Payments for reserving beds in institutions.
TEXT PDF447.45 Timely claims payment.
TEXT PDF447.50 Cost sharing: Basis and purpose.
TEXT PDF447.51 Requirements and options.
TEXT PDF447.52 Minimum and maximum income-related charges.
TEXT PDF447.53 Applicability; specification; multiple charges.
TEXT PDF447.54 Maximum allowable charges.
TEXT PDF447.55 Standard co-payment.
TEXT PDF447.56 Income-related charges.
TEXT PDF447.57 Restrictions on payments to providers.
TEXT PDF447.58 Payments to prepaid capitation organizations.
TEXT PDF447.59 FFP: Conditions relating to cost sharing.
TEXT PDF447.200 Basis and purpose.
TEXT PDF447.201 State plan requirements.
TEXT PDF447.202 Audits.
TEXT PDF447.203 Documentation of payment rates.
TEXT PDF447.204 Encouragement of provider participation.
TEXT PDF447.205 Public notice of changes in Statewide methods and standards for setting payment rates.
TEXT PDF447.250 Basis and purpose.
TEXT PDF447.251 Definitions.
TEXT PDF447.252 State plan requirements.
TEXT PDF447.253 Other requirements.
TEXT PDF447.255 Related information.
TEXT PDF447.256 Procedures for HCFA action on assurances and State plan amendments.
TEXT PDF447.257 FFP: Conditions relating to institutional reimbursement.
TEXT PDF447.271 Upper limits based on customary charges.
TEXT PDF447.272 Application of upper payment limits.
TEXT PDF447.280 Hospital providers of NF services (swing-bed hospitals).
TEXT PDF447.296 Limitations on aggregate payments for disproportionate share hospitals for the period January 1, 1992 through September 30, 1992.
TEXT PDF447.297 Limitations on aggregate payments for disproportionate share hospitals beginning October 1, 1992.
TEXT PDF447.298 State disproportionate share hospital allotments.
TEXT PDF447.299 Reporting requirements.
TEXT PDF447.300 Basis and purpose.
TEXT PDF447.301 Definitions.
TEXT PDF447.302 State plan requirements.
TEXT PDF447.304 Adherence to upper limits; FFP.
TEXT PDF447.321 Outpatient hospital services and clinic services: Upper limits of payment.
TEXT PDF447.325 Other inpatient and outpatient facility services: Upper limits of payment.
TEXT PDF447.331 Drugs: Aggregate upper limits of payment.
TEXT PDF447.332 Upper limits for multiple source drugs.
TEXT PDF447.333 State plan requirements, findings and assurances.
TEXT PDF447.334 Upper limits for drugs furnished as part of services.
TEXT PDF447.361 Upper limits of payment: Risk contract.
TEXT PDF447.362 Upper limits of payment: Nonrisk contract.
TEXT PDF447.371 Services furnished by rural health clinics.

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