Title 42

PART 411 SUBPART K

Subpart K - Payment for Certain Excluded Services

• 42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh, and 1395nn.
• 54 FR 41734, Oct. 11, 1989, unless otherwise noted.

42:2.0.1.2.12.11.35.1	SECTION 411.400	411.400 Payment for custodial care and services not reasonable and necessary.
42:2.0.1.2.12.11.35.2	SECTION 411.402	411.402 Indemnification of beneficiary.
42:2.0.1.2.12.11.35.3	SECTION 411.404	411.404 Criteria for determining that a beneficiary knew that services were excluded from coverage as custodial care or as not reasonable and necessary.
42:2.0.1.2.12.11.35.4	SECTION 411.406	411.406 Criteria for determining that a provider, practitioner, or supplier knew that services were excluded from coverage as custodial care or as not reasonable and necessary.
42:2.0.1.2.12.11.35.5	SECTION 411.408	411.408 Refunds of amounts collected for physician services not reasonable and necessary, payment not accepted on an assignment-related basis.

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