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Title 42--Public Health
CHAPTER IV--HEALTH CARE
FINANCING ADMINISTRATION,
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
PART 489--PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
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 | 489.1 | Statutory basis. |
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| 489.2 | Scope of part. |
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| 489.3 | Definitions. |
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| 489.10 | Basic requirements. |
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| 489.11 | Acceptance of a provider as a participant. |
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| 489.12 | Decision to deny an agreement. |
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| 489.13 | Effective date of agreement or approval. |
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| 489.18 | Change of ownership or leasing: Effect on provider agreement. |
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| 489.20 | Basic commitments. |
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| 489.21 | Specific limitations on charges. |
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| 489.22 | Special provisions applicable to prepayment requirements. |
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| 489.23 | Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans. |
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| 489.24 | Special responsibilities of Medicare hospitals in emergency cases. |
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| 489.25 | Special requirements concerning CHAMPUS and CHAMPVA programs. |
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| 489.26 | Special requirements concerning veterans. |
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| 489.27 | Beneficiary notice of discharge rights. |
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| 489.28 | Special capitalization requirements for HHAs. |
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| 489.30 | Allowable charges: Deductibles and coinsurance. |
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| 489.31 | Allowable charges: Blood. |
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| 489.32 | Allowable charges: Noncovered and partially covered services. |
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| 489.34 | Allowable charges: Hospitals participating in State reimbursement control systems or demonstration projects. |
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| 489.35 | Notice to intermediary. |
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| 489.40 | Definition of incorrect collection. |
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| 489.41 | Timing and methods of handling. |
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| 489.42 | Payment of offset amounts to beneficiary or other person. |
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| 489.52 | Termination by the provider. |
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| 489.53 | Termination by HCFA. |
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| 489.54 | Termination by the OIG. |
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| 489.55 | Exceptions to effective date of termination. |
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| 489.57 | Reinstatement after termination. |
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| 489.60 | Definitions. |
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| 489.61 | Basic requirement for surety bonds. |
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| 489.62 | Requirement waived for Government-operated HHAs. |
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| 489.63 | Parties to the bond. |
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| 489.64 | Authorized Surety and exclusion of surety companies. |
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| 489.65 | Amount of the bond. |
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| 489.66 | Additional requirements of the surety bond. |
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| 489.67 | Term and type of bond. |
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| 489.68 | Effect of failure to obtain, maintain, and timely file a surety bond. |
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| 489.69 | Evidence of compliance. |
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| 489.70 | Effect of payment by the Surety. |
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| 489.71 | Surety's standing to appeal Medicare determinations. |
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| 489.72 | Effect of review reversing determination. |
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| 489.73 | Effect of conditions of payment. |
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| 489.74 | Incorporation into existing provider agreements. |
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| 489.100 | Definition. |
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| 489.102 | Requirements for providers. |
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| 489.104 | Effective dates. |
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