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- 42 CFR 447.10 · Prohibition against reassignment of provider claims.
- 42 CFR 447.15 · Acceptance of State payment as payment in full.
- 42 CFR 447.20 · Provider restrictions: State plan requirements.
- 42 CFR 447.21 · Reduction of payments to providers.
- 42 CFR 447.25 · Direct payments to certain beneficiaries for physicians' or dentists' services.
- 42 CFR 447.26 · Prohibition on payment for provider-preventable conditions.
- 42 CFR 447.30 · Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments.
- 42 CFR 447.31 · Withholding Medicare payments to recover Medicaid overpayments.
- 42 CFR 447.40 · Payments for reserving beds in institutions.
- 42 CFR 447.45 · Timely claims payment.
- 42 CFR 447.46 · Timely claims payment by MCOs.
- 42 CFR 447.50 · Premiums and cost sharing: Basis and purpose.
- 42 CFR 447.51 · Definitions.
- 42 CFR 447.52 · Cost sharing.
- 42 CFR 447.53 · Cost sharing for drugs.
- 42 CFR 447.54 · Cost sharing for services furnished in a hospital emergency department.
- 42 CFR 447.55 · Premiums.
- 42 CFR 447.56 · Limitations on premiums and cost sharing.
- 42 CFR 447.57 · Beneficiary and public notice requirements.
- 42 CFR 447.88 · Options for claiming FFP payment for section 1920A presumptive eligibility medical assistance payments.
- 42 CFR 447.90 · FFP: Conditions related to pending investigations of credible allegations of fraud against the Medicaid program.
- 42 CFR 447.200 · Basis and purpose.
- 42 CFR 447.201 · State plan requirements.
- 42 CFR 447.202 · Audits.
- 42 CFR 447.203 · Documentation of access to care and service payment rates.
- 42 CFR 447.204 · Medicaid provider participation and public process to inform access to care.
- 42 CFR 447.205 · Public notice of changes in Statewide methods and standards for setting payment rates.
- 42 CFR 447.250 · Basis and purpose.
- 42 CFR 447.251 · Definitions.
- 42 CFR 447.252 · State plan requirements.
- 42 CFR 447.253 · Other requirements.
- 42 CFR 447.255 · Related information.
- 42 CFR 447.256 · Procedures for CMS action on assurances and State plan amendments.
- 42 CFR 447.257 · FFP: Conditions relating to institutional reimbursement.
- 42 CFR 447.271 · Upper limits based on customary charges.
- 42 CFR 447.272 · Inpatient services: Application of upper payment limits.
- 42 CFR 447.280 · Hospital providers of NF services (swing-bed hospitals).
- 42 CFR 447.294 · Medicaid disproportionate share hospital (DSH) allotment reductions.
- 42 CFR 447.295 · Hospital-specific disproportionate share hospital payment limit: Determination of individuals without health insurance or other third party coverage.
- 42 CFR 447.296 · Limitations on aggregate payments for disproportionate share hospitals for the period January 1, 1992 through September 30, 1992.
- 42 CFR 447.297 · Limitations on aggregate payments for disproportionate share hospitals beginning October 1, 1992.
- 42 CFR 447.298 · State disproportionate share hospital allotments.
- 42 CFR 447.299 · Reporting requirements.
- 42 CFR 447.300 · Basis and purpose.
- 42 CFR 447.302 · State plan requirements.
- 42 CFR 447.304 · Adherence to upper limits; FFP.
- 42 CFR 447.321 · Outpatient hospital and clinic services: Application of upper payment limits.
- 42 CFR 447.325 · Other inpatient and outpatient facility services: Upper limits of payment.
- 42 CFR 447.342 · [Reserved]
- 42 CFR 447.362 · Upper limits of payment: Nonrisk contract.
- 42 CFR 447.371 · Services furnished by rural health clinics.
- 42 CFR 447.400 · Primary care services furnished by physicians with a specified specialty or subspecialty.
- 42 CFR 447.405 · Amount of required minimum payments.
- 42 CFR 447.410 · State plan requirements.
- 42 CFR 447.415 · Availability of Federal financial participation (FFP).
- 42 CFR 447.500 · Basis and purpose.
- 42 CFR 447.502 · Definitions.
- 42 CFR 447.504 · Determination of average manufacturer price.
- 42 CFR 447.505 · Determination of best price.
- 42 CFR 447.506 · Authorized generic drugs.
- 42 CFR 447.507 · Identification of inhalation, infusion, instilled, implanted, or injectable drugs (5i drugs).
- 42 CFR 447.508 · Exclusion from best price of certain sales at a nominal price.
- 42 CFR 447.509 · Medicaid drug rebates (MDR).
- 42 CFR 447.510 · Requirement and penalties for manufacturers.
- 42 CFR 447.511 · Requirements for States.
- 42 CFR 447.512 · Drugs: Aggregate upper limits of payment.
- 42 CFR 447.514 · Upper limits for multiple source drugs.
- 42 CFR 447.516 · Upper limits for drugs furnished as part of services.
- 42 CFR 447.518 · State plan requirements, findings, and assurances.
- 42 CFR 447.520 · Federal Financial Participation (FFP): Conditions relating to physician-administered drugs.
- 42 CFR 447.522 · Optional coverage of investigational drugs and other drugs not subject to rebate.
- 42 CFR 455.1 · Basis and scope.
- 42 CFR 455.2 · Definitions.
- 42 CFR 455.3 · Other applicable regulations.
- 42 CFR 455.12 · State plan requirement.
- 42 CFR 455.13 · Methods for identification, investigation, and referral.
- 42 CFR 455.14 · Preliminary investigation.
- 42 CFR 455.15 · Full investigation.
- 42 CFR 455.16 · Resolution of full investigation.
- 42 CFR 455.17 · Reporting requirements.
- 42 CFR 455.18 · Provider's statements on claims forms.
- 42 CFR 455.19 · Provider's statement on check.
- 42 CFR 455.20 · Beneficiary verification procedure.
- 42 CFR 455.21 · Cooperation with State Medicaid fraud control units.
- 42 CFR 455.23 · Suspension of payments in cases of fraud.
- 42 CFR 455.100 · Purpose.
- 42 CFR 455.101 · Definitions.
- 42 CFR 455.102 · Determination of ownership or control percentages.
- 42 CFR 455.103 · State plan requirement.
- 42 CFR 455.104 · Disclosure by Medicaid providers and fiscal agents: Information on ownership and control.
- 42 CFR 455.105 · Disclosure by providers: Information related to business transactions.
- 42 CFR 455.106 · Disclosure by providers: Information on persons convicted of crimes.
- 42 CFR 455.107 · Disclosure of affiliations.
- 42 CFR 455.200 · Basis and scope.
- 42 CFR 455.202 · Limitation on contractor liability.
- 42 CFR 455.230 · Eligibility requirements.
- 42 CFR 455.232 · Medicaid integrity audit program contractor functions.
- 42 CFR 455.234 · Awarding of a contract.
- 42 CFR 455.236 · Renewal of a contract.
- 42 CFR 455.238 · Conflict of interest.