Title 42

PART 447 SUBPART A

Subpart A - Payments: General Provisions

• 42 U.S.C. 1302 and 1396r-8.
• 43 FR 45253, Sept. 29, 1978, unless otherwise noted.

42:4.0.1.1.12.1.109	SUBJGRP 109	Medicaid Premiums and Cost Sharing
42:4.0.1.1.12.1.109.1	SECTION 447.1	447.1 Purpose.
42:4.0.1.1.12.1.109.2	SECTION 447.10	447.10 Prohibition against reassignment of provider claims.
42:4.0.1.1.12.1.109.3	SECTION 447.15	447.15 Acceptance of State payment as payment in full.
42:4.0.1.1.12.1.109.4	SECTION 447.20	447.20 Provider restrictions: State plan requirements.
42:4.0.1.1.12.1.109.5	SECTION 447.21	447.21 Reduction of payments to providers.
42:4.0.1.1.12.1.109.6	SECTION 447.25	447.25 Direct payments to certain beneficiaries for physicians' or dentists' services.
42:4.0.1.1.12.1.109.7	SECTION 447.26	447.26 Prohibition on payment for provider-preventable conditions.
42:4.0.1.1.12.1.109.8	SECTION 447.30	447.30 Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments.
42:4.0.1.1.12.1.109.9	SECTION 447.31	447.31 Withholding Medicare payments to recover Medicaid overpayments.
42:4.0.1.1.12.1.109.10	SECTION 447.40	447.40 Payments for reserving beds in institutions.
42:4.0.1.1.12.1.109.11	SECTION 447.45	447.45 Timely claims payment.
42:4.0.1.1.12.1.109.12	SECTION 447.46	447.46 Timely claims payment by MCOs.
42:4.0.1.1.12.1.109.13	SECTION 447.50	447.50 Premiums and cost sharing: Basis and purpose.
42:4.0.1.1.12.1.109.14	SECTION 447.51	447.51 Definitions.
42:4.0.1.1.12.1.109.15	SECTION 447.52	447.52 Cost sharing.
42:4.0.1.1.12.1.109.16	SECTION 447.53	447.53 Cost sharing for drugs.
42:4.0.1.1.12.1.109.17	SECTION 447.54	447.54 Cost sharing for services furnished in a hospital emergency department.
42:4.0.1.1.12.1.109.18	SECTION 447.55	447.55 Premiums.
42:4.0.1.1.12.1.109.19	SECTION 447.56	447.56 Limitations on premiums and cost sharing.
42:4.0.1.1.12.1.109.20	SECTION 447.57	447.57 Beneficiary and public notice requirements.
42:4.0.1.1.12.1.109.21	SECTION 447.88	447.88 Options for claiming FFP payment for section 1920A presumptive eligibility medical assistance payments.
42:4.0.1.1.12.1.109.22	SECTION 447.90	447.90 FFP: Conditions related to pending investigations of credible allegations of fraud against the Medicaid program.

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