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Code of Federal Regulations (Last Updated: November 8, 2024) |
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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 G - Standards and Certification |
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Part 489 - Provider Agreements and Supplier Approval |
| Subpart A - General Provisions |
| § 489.1 - Statutory basis. |
| § 489.2 - Scope of part. |
| § 489.3 - Definitions. |
| § 489.10 - Basic requirements. |
| § 489.11 - Acceptance of a provider as a participant. |
| § 489.12 - Decision to deny an agreement. |
| § 489.13 - Effective date of agreement or approval. |
| § 489.18 - Change of ownership or leasing: Effect on provider agreement. |
| Subpart B - Essentials of Provider Agreements |
| § 489.20 - Basic commitments. |
| § 489.21 - Specific limitations on charges. |
| § 489.22 - Special provisions applicable to prepayment requirements. |
| § 489.23 - Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans. |
| § 489.24 - Special responsibilities of Medicare hospitals in emergency cases. |
| § 489.25 - Special requirements concerning CHAMPUS and CHAMPVA programs. |
| § 489.26 - Special requirements concerning veterans. |
| § 489.27 - Beneficiary notice of discharge or change in status rights. |
| § 489.28 - Special capitalization requirements for HHAs. |
| § 489.29 - Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health programs, and urban Indian organization health programs. |
| Subpart C - Allowable Charges |
| § 489.30 - Allowable charges: Deductibles and coinsurance. |
| § 489.31 - Allowable charges: Blood. |
| § 489.32 - Allowable charges: Noncovered and partially covered services. |
| § 489.34 - Allowable charges: Hospitals participating in State reimbursement control systems or demonstration projects. |
| § 489.35 - Notice to intermediary. |
| Subpart D - Handling of Incorrect Collections |
| § 489.40 - Definition of incorrect collection. |
| § 489.41 - Timing and methods of handling. |
| § 489.42 - Payment of offset amounts to beneficiary or other person. |
| Subpart E - Termination of Agreement and Reinstatement After Termination |
| § 489.52 - Termination by the provider. |
| § 489.53 - Termination by CMS. |
| § 489.54 - Termination by the OIG. |
| § 489.55 - Exceptions to effective date of termination. |
| § 489.57 - Reinstatement after termination. |
| Subpart F - Surety Bond Requirements for HHAs |
| § 489.60 - Definitions. |
| § 489.61 - Basic requirement for surety bonds. |
| § 489.62 - Requirement waived for Government-operated HHAs. |
| § 489.63 - Parties to the bond. |
| § 489.64 - Authorized Surety and exclusion of surety companies. |
| § 489.65 - Amount of the bond. |
| § 489.66 - Additional requirements of the surety bond. |
| § 489.67 - Term and type of bond. |
| § 489.68 - Effect of failure to obtain, maintain, and timely file a surety bond. |
| § 489.69 - Evidence of compliance. |
| § 489.70 - Effect of payment by the Surety. |
| § 489.71 - Surety's standing to appeal Medicare determinations. |
| § 489.72 - Effect of review reversing determination. |
| § 489.73 - Effect of conditions of payment. |
| § 489.74 - Incorporation into existing provider agreements. |
| Subparts G--H - XXX |
| Subpart I - Advance Directives |
| § 489.100 - Definition. |
| § 489.102 - Requirements for providers. |
| § 489.104 - Effective dates. |