GroundRules
42 CFR 403.300: Basis and purpose.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER A—GENERAL PROVISIONS
- PART 403—SPECIAL PROGRAMS AND PROJECTS
- Subpart C—Recognition of State Reimbursement Control Systems
(a) Basis. This subpart implements section 1886(c) of the Act, which authorizes payment for Medicare inpatient hospital services in accordance with a State's reimbursement control system rather than under the Medicare reimbursement principles as described in CMS's regulations and instructions.
(b) Purpose. Contained in this subpart are—
(1) The basic requirements that a State reimbursement control system must meet in order to be approved by CMS;
(2) A description of CMS's review and evaluation procedures; and
(3) The conditions that apply if the system is approved.
Collected 2026-08-27T02:26:11Z. Source file · JSON