GroundRules
Browse Federal regulations
Read the original sections, or search by topic.
- 42 CFR 412.88 · Additional payment for new medical service or technology.
- 42 CFR 412.89 · Payment adjustment for certain replaced devices.
- 42 CFR 412.90 · General rules.
- 42 CFR 412.92 · Special treatment: Sole community hospitals.
- 42 CFR 412.96 · Special treatment: Referral centers.
- 42 CFR 412.98 · [Reserved]
- 42 CFR 412.100 · Special treatment: Kidney transplant programs.
- 42 CFR 412.101 · Special treatment: Inpatient hospital payment adjustment for low-volume hospitals.
- 42 CFR 412.102 · Special treatment: Hospitals located in areas that are changing from urban to rural as a result of a geographic redesignation.
- 42 CFR 412.103 · Special treatment: Hospitals located in urban areas and that apply for reclassification as rural.
- 42 CFR 412.104 · Special treatment: Hospitals with high percentage of ESRD discharges.
- 42 CFR 412.105 · Special treatment: Hospitals that incur indirect costs for graduate medical education programs.
- 42 CFR 412.106 · Special treatment: Hospitals that serve a disproportionate share of low-income patients.
- 42 CFR 412.107 · Special treatment: Hospitals that receive an additional update for FYs 1998 and 1999.
- 42 CFR 412.108 · Special treatment: Medicare-dependent, small rural hospitals.
- 42 CFR 412.109 · Special treatment: Essential access community hospitals (EACHs).
- 42 CFR 412.110 · Total Medicare payment.
- 42 CFR 412.112 · Payments determined on a per case basis.
- 42 CFR 412.113 · Other payments.
- 42 CFR 412.115 · Additional payments.
- 42 CFR 412.116 · Method of payment.
- 42 CFR 412.120 · Reductions to total payments.
- 42 CFR 412.125 · Effect of change of ownership on payments under the prospective payment systems.
- 42 CFR 412.130 · Retroactive adjustments for incorrectly excluded hospitals and units.
- 42 CFR 412.140 · Participation, data submission, and validation requirements under the Hospital Inpatient Quality Reporting (IQR) Program.
- 42 CFR 412.150 · Basis and scope of subpart.
- 42 CFR 412.152 · Definitions for the Hospital Readmissions Reduction Program.
- 42 CFR 412.154 · Payment adjustments under the Hospital Readmissions Reduction Program.
- 42 CFR 412.155-412.159 · §§ 412.155-412.159 [Reserved]
- 42 CFR 412.160 · Definitions for the Hospital Value-Based Purchasing (VBP) Program.
- 42 CFR 412.161 · Applicability of the Hospital Value-Based Purchasing (VBP) Program.
- 42 CFR 412.162 · Process for reducing the base operating DRG payment amount and applying the value-based incentive payment amount adjustment under the Hospital Value-Based Purchasing (VBP) Program.
- 42 CFR 412.163 · Process for making hospital-specific performance information under the Hospital Value-Based Purchasing (VBP) Program available to the public.
- 42 CFR 412.164 · Measure selection under the Hospital Value-Based Purchasing (VBP) Program.
- 42 CFR 412.165 · Performance scoring under the Hospital Value-Based Purchasing (VBP) Program.
- 42 CFR 412.167 · Appeal under the Hospital Value-Based Purchasing (VBP) Program.
- 42 CFR 412.168 · Special rules for FY 2022 and FY 2023.
- 42 CFR 412.169 · [Reserved]
- 42 CFR 412.170 · Definitions for the Hospital-Acquired Condition Reduction Program.
- 42 CFR 412.172 · Payment adjustments under the Hospital-Acquired Condition Reduction Program.
- 42 CFR 412.190 · Overall Hospital Quality Star Rating.
- 42 CFR 412.200 · General provisions.
- 42 CFR 412.204 · Payment to hospitals located in Puerto Rico.
- 42 CFR 412.208 · Puerto Rico rates for Federal fiscal year 1988.
- 42 CFR 412.210 · Puerto Rico rates for Federal fiscal years 1989 through 2003.
- 42 CFR 412.211 · Puerto Rico rates for Federal fiscal year 2004 and subsequent fiscal years.
- 42 CFR 412.212 · National rate.
- 42 CFR 412.220 · Special treatment of certain hospitals located in Puerto Rico.
- 42 CFR 412.230 · Criteria for an individual hospital seeking redesignation to another rural area or an urban area.
- 42 CFR 412.232 · Criteria for all hospitals in a rural county seeking urban redesignation.
- 42 CFR 412.234 · Criteria for all hospitals in an urban county seeking redesignation to another urban area.
- 42 CFR 412.235 · Criteria for all hospitals in a State seeking a statewide wage index redesignation.
- 42 CFR 412.246 · MGCRB members.
- 42 CFR 412.248 · Number of members needed for a decision or a hearing.
- 42 CFR 412.250 · Sources of MGCRB's authority.
- 42 CFR 412.252 · Applications.
- 42 CFR 412.254 · Proceedings before MGCRB.
- 42 CFR 412.256 · Application requirements.
- 42 CFR 412.258 · Parties to MGCRB proceeding.
- 42 CFR 412.260 · Time and place of the oral hearing.
- 42 CFR 412.262 · Disqualification of an MGCRB member.
- 42 CFR 412.264 · Evidence and comments in MGCRB proceeding.
- 42 CFR 412.266 · Availability of wage data.
- 42 CFR 412.268 · Subpoenas.
- 42 CFR 412.270 · Witnesses.
- 42 CFR 412.272 · Record of proceedings before the MGCRB.
- 42 CFR 412.273 · Withdrawing an application, terminating an approved 3-year reclassification, or reinstating a previous termination.
- 42 CFR 412.274 · Scope and effect of an MGCRB decision.
- 42 CFR 412.276 · Timing of MGCRB decision and its appeal.
- 42 CFR 412.278 · Administrator's review.
- 42 CFR 412.280 · Representation.
- 42 CFR 412.300 · Scope of subpart and definition.
- 42 CFR 412.302 · Introduction to capital costs.
- 42 CFR 412.304 · Implementation of the capital prospective payment system.
- 42 CFR 412.308 · Determining and updating the Federal rate.
- 42 CFR 412.312 · Payment based on the Federal rate.
- 42 CFR 412.316 · Geographic adjustment factors.
- 42 CFR 412.320 · Disproportionate share adjustment factor.
- 42 CFR 412.322 · Indirect medical education adjustment factor.
- 42 CFR 412.324 · General description.
- 42 CFR 412.328 · Determining and updating the hospital-specific rate.
- 42 CFR 412.331 · Determining hospital-specific rates in cases of hospital merger, consolidation, or dissolution.
- 42 CFR 412.332 · Payment based on the hospital-specific rate.
- 42 CFR 412.336 · Transition period payment methodologies.
- 42 CFR 412.340 · Fully prospective payment methodology.
- 42 CFR 412.344 · Hold-harmless payment methodology.
- 42 CFR 412.348 · Exception payments.
- 42 CFR 412.352 · Budget neutrality adjustment.
- 42 CFR 412.370 · General provisions for hospitals located in Puerto Rico.
- 42 CFR 412.374 · Payments to hospitals located in Puerto Rico.
- 42 CFR 412.400 · Basis and scope of subpart.
- 42 CFR 412.402 · Definitions.
- 42 CFR 412.404 · Conditions for payment under the prospective payment system for inpatient hospital services of psychiatric facilities.
- 42 CFR 412.405 · Preadmission services as inpatient operating costs under the inpatient psychiatric facility prospective payment system.
- 42 CFR 412.422 · Basis of payment.
- 42 CFR 412.424 · Methodology for calculating the Federal per diem payment amount.
- 42 CFR 412.426 · Transition period.
- 42 CFR 412.428 · Publication of changes to the inpatient psychiatric facility prospective payment system.
- 42 CFR 412.432 · Method of payment under the inpatient psychiatric facility prospective payment system.
- 42 CFR 412.433 · Procedural requirements under the IPFQR Program.