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us/regulation/42/447/subpart-A — Subpart A - Payments: General Provisions · Axiom
Axiom
/
US Federal
/
Regulations
/
Title 42
/
Part 447
Subpart A - Payments: General Provisions
22 sections
1
Purpose
10
Prohibition against reassignment of provider claims
15
Acceptance of State payment as payment in full
20
Provider restrictions: State plan requirements
21
Reduction of payments to providers
25
Direct payments to certain beneficiaries for physicians' or dentists' services
26
Prohibition on payment for provider-preventable conditions
30
Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments
31
Withholding Medicare payments to recover Medicaid overpayments
40
Payments for reserving beds in institutions
45
Timely claims payment
46
Timely claims payment by MCOs
50
Premiums and cost sharing: Basis and purpose
51
Definitions
52
Cost sharing
53
Cost sharing for drugs
54
Cost sharing for services furnished in a hospital emergency department
55
Premiums
56
Limitations on premiums and cost sharing
57
Beneficiary and public notice requirements
88
Options for claiming FFP payment for section 1920A presumptive eligibility medical assistance payments
90
FFP: Conditions related to pending investigations of credible allegations of fraud against the Medicaid program
