GroundRules
42 CFR 455.440: National Provider Identifier.
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 C—MEDICAL ASSISTANCE PROGRAMS
- PART 455—PROGRAM INTEGRITY: MEDICAID
- Subpart E—Provider Screening and Enrollment
The State Medicaid agency must require all claims for payment for items and services that were ordered or referred to contain the National Provider Identifier (NPI) of the physician or other professional who ordered or referred such items or services.
Collected 2026-08-27T02:26:11Z. Source file · JSON