Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 447: Payments For Services

Section No. Description
Section 447.1 Prohibition against reassignment of provider claims
Section 447.10 Acceptance of State payment as payment in full
Section 447.15 Provider restrictions: State plan requirements
Section 447.20 Reduction of payments to providers
Section 447.21 Direct payments to certain beneficiaries for physicians' or dentists' services
Section 447.25 Prohibition on payment for provider-preventable conditions
Section 447.26 Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments
Section 447.30 Withholding Medicare payments to recover Medicaid overpayments
Section 447.31 Payments for reserving beds in institutions
Section 447.40 Timely claims payment
Section 447.45 Timely claims payment by MCOs
Section 447.46 Premiums and cost sharing: Basis and purpose
Section 447.50 Definitions
Section 447.51 Cost sharing
Section 447.52 Cost sharing for drugs
Section 447.53 Cost sharing for services furnished in a hospital emergency department
Section 447.54 Premiums
Section 447.55 Limitations on premiums and cost sharing
Section 447.56 Beneficiary and public notice requirements
Section 447.57 Options for claiming FFP payment for section 1920A presumptive eligibility medical assistance payments
Section 447.88 FFP: Conditions related to pending investigations of credible allegations of fraud against the Medicaid program
Section 447.90 Basis and purpose
Section 447.200 State plan requirements
Section 447.201 Audits
Section 447.202 Documentation of payment rates
Section 447.203 Encouragement of provider participation
Section 447.204 Public notice of changes in Statewide methods and standards for setting payment rates
Section 447.205 Basis and purpose
Section 447.250 Definitions
Section 447.251 State plan requirements
Section 447.252 Other requirements
Section 447.253 Related information
Section 447.255 Procedures for CMS action on assurances and State plan amendments
Section 447.256 FFP: Conditions relating to institutional reimbursement
Section 447.257 Upper limits based on customary charges
Section 447.271 Inpatient services: Application of upper payment limits
Section 447.272 Hospital providers of NF services (swing-bed hospitals)
Section 447.280 Medicaid disproportionate share hospital (DSH) allotment reductions for Federal fiscal year 2014 and Federal
Section 447.294 Hospital-specific disproportionate share hospital payment limit: Determination of individuals without health
Section 447.295 Limitations on aggregate payments for disproportionate share hospitals for the period January 1, 1992 through
Section 447.296 Limitations on aggregate payments for disproportionate share hospitals beginning October 1, 1992
Section 447.297 State disproportionate share hospital allotments
Section 447.298 Reporting requirements
Section 447.299 Basis and purpose
Section 447.300 State plan requirements
Section 447.302 Adherence to upper limits; FFP
Section 447.304 Outpatient hospital and clinic services: Application of upper payment limits
Section 447.321 Other inpatient and outpatient facility services: Upper limits of payment
Section 447.325 Upper limits of payment: Nonrisk contract
Section 447.362 Services furnished by rural health clinics
Section 447.371 Primary care services furnished by physicians with a specified specialty or subspecialty
Section 447.400 Amount of required minimum payments
Section 447.405 State plan requirements
Section 447.410 Availability of Federal financial participation (FFP)
Section 447.415 Basis and purpose
Section 447.500 Definitions
Section 447.502 Determination of best price
Section 447.505 Authorized generic drugs
Section 447.506 Exclusion from best price of certain sales at a nominal price
Section 447.508 Requirements for manufacturers
Section 447.510 Drugs: Aggregate upper limits of payment
Section 447.512 Upper limits for drugs furnished as part of services
Section 447.516 State plan requirements, findings and assurances
Section 447.518 FFP: Conditions relating to physician-administered drugs
Section 447.520 Basis and scope