GroundRules
42 CFR 600.510: Cost-sharing.
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 I—BASIC HEALTH PROGRAM
- PART 600—ADMINISTRATION, ELIGIBILITY, ESSENTIAL HEALTH BENEFITS, PERFORMANCE STANDARDS, SERVICE DELIVERY REQUIREMENTS, PREMIUM AND COST SHARING, ALLOTMENTS, AND RECONCILATION
- Subpart F—Enrollee Financial Responsibilities
(a) Cost-sharing requirements. (1) For cost sharing imposed on enrollees, the State must assure the following:
(i) The cost sharing imposed on enrollees meet the standards detailed in § 600.520(c).
(ii) The establishment of an effective system to monitor and track the cost-sharing standards consistent with § 600.520(b) through (d).
(2) This assurance must be reflected in the BHP Blueprint, which shall also include the group or groups of enrollees subject to the cost sharing.
(b) Cost sharing for preventive health services. A State may not impose cost sharing with respect to the preventive health services or items, as defined in, and in accordance with 45 CFR 147.130.
Collected 2026-08-27T02:26:11Z. Source file · JSON