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Title 42 - Public Health
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CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
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SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS (parts 430 to 456)
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PART 447—PAYMENTS FOR SERVICES
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SUBPART A—Payments: General Provisions (§447.1 to §447.88)
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SUBPART A—Payments: General Provisions (§447.1 to §447.88)
447.1—Purpose.
447.10—Prohibition against reassignment of provider claims.
447.15—Acceptance of State payment as payment in full.
447.20—Provider restrictions: State plan requirements.
447.21—Reduction of payments to providers.
447.25—Direct payments to certain recipients for physicians' or dentists' services.
447.30—Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments.
447.31—Withholding Medicare payments to recover Medicaid overpayments.
447.40—Payments for reserving beds in institutions.
447.45—Timely claims payment.
447.46—Timely claims payment by MCOs.
447.50—Cost sharing: Basis and purpose.
447.51—Requirements and options.
447.52—Minimum and maximum income-related charges.
447.53—Applicability; specification; multiple charges.
447.54—Maximum allowable and nominal charges.
447.55—Standard co-payment.
447.56—Income-related charges.
447.57—Restrictions on payments to providers.
447.58—Payments to prepaid capitation organizations.
447.59—FFP: Conditions relating to cost sharing.
447.60—Cost-sharing requirements for services furnished by MCOs.
447.62—Alternative premiums and cost sharing: Basis, purpose and scope.
447.64—Alternative premiums, enrollment fees, or similar fees: State plan requirements.
447.66—General alternative premium protections.
447.68—Alternative copayments, coinsurance, deductibles, or similar cost sharing charges: State plan requirements.
447.70—General alternative cost sharing protections.
447.71—Alternative premium and cost sharing exemptions and protections for individuals with family incomes at or below 100 percent of the FPL.
447.72—Alternative premium and cost sharing exemptions and protections for individuals with family incomes above 100 percent but at or below 150 percent of the FPL.
447.74—Alternative premium and cost sharing protections for individuals with family incomes above 150 percent of the FPL.
447.76—Public schedule.
447.78—Aggregate limits on alternative premiums and cost sharing.
447.80—Enforceability of alternative premiums and cost sharing.
447.82—Restrictions on payments to providers.
447.88—Options for claiming FFP payment for section 1920A presumptive eligibility medical assistance payments.
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