Home/CFR/Title 42/Part 447
FEDERAL · 42 CFR

Part 447 — Payments for Services

72 sections · Title 42: Public Health

§ 447.1Purpose.
§ 447.10Prohibition against reassignment of provider claims.
§ 447.15Acceptance of State payment as payment in full.
§ 447.20Provider restrictions: State plan requirements.
§ 447.21Reduction of payments to providers.
§ 447.25Direct payments to certain beneficiaries for physicians' or dentists' services.
§ 447.26Prohibition on payment for provider-preventable conditions.
§ 447.30Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments.
§ 447.31Withholding Medicare payments to recover Medicaid overpayments.
§ 447.40Payments for reserving beds in institutions.
§ 447.45Timely claims payment.
§ 447.46Timely claims payment by MCOs.
§ 447.50Premiums and cost sharing: Basis and purpose.
§ 447.51Definitions.
§ 447.52Cost sharing.
§ 447.53Cost sharing for drugs.
§ 447.54Cost sharing for services furnished in a hospital emergency department.
§ 447.55Premiums.
§ 447.56Limitations on premiums and cost sharing.
§ 447.57Beneficiary and public notice requirements.
§ 447.88Options for claiming FFP payment for section 1920A presumptive eligibility medical assistance payments.
§ 447.90FFP: Conditions related to pending investigations of credible allegations of fraud against the Medicaid program.
§ 447.200Basis and purpose.
§ 447.201State plan requirements.
§ 447.202Audits.
§ 447.203Documentation of access to care and service payment rates.
§ 447.204Medicaid provider participation and public process to inform access to care.
§ 447.205Public notice of changes in Statewide methods and standards for setting payment rates.
§ 447.250Basis and purpose.
§ 447.251Definitions.
§ 447.252State plan requirements.
§ 447.253Other requirements.
§ 447.255Related information.
§ 447.256Procedures for CMS action on assurances and State plan amendments.
§ 447.257FFP: Conditions relating to institutional reimbursement.
§ 447.271Upper limits based on customary charges.
§ 447.272Inpatient services: Application of upper payment limits.
§ 447.280Hospital providers of NF services (swing-bed hospitals).
§ 447.294Medicaid disproportionate share hospital (DSH) allotment reductions.
§ 447.295Hospital-specific disproportionate share hospital payment limit: Determination of individuals without health insurance or other third party coverage.
§ 447.296Limitations on aggregate payments for disproportionate share hospitals for the period January 1, 1992 through September 30, 1992.
§ 447.297Limitations on aggregate payments for disproportionate share hospitals beginning October 1, 1992.
§ 447.298State disproportionate share hospital allotments.
§ 447.299Reporting requirements.
§ 447.300Basis and purpose.
§ 447.302State plan requirements.
§ 447.304Adherence to upper limits; FFP.
§ 447.321Outpatient hospital and clinic services: Application of upper payment limits.
§ 447.325Other inpatient and outpatient facility services: Upper limits of payment.
§ 447.342§ 447.342 [Reserved]
§ 447.362Upper limits of payment: Nonrisk contract.
§ 447.371Services furnished by rural health clinics.
§ 447.400Primary care services furnished by physicians with a specified specialty or subspecialty.
§ 447.405Amount of required minimum payments.
§ 447.410State plan requirements.
§ 447.415Availability of Federal financial participation (FFP).
§ 447.500Basis and purpose.
§ 447.502Definitions.
§ 447.504Determination of average manufacturer price.
§ 447.505Determination of best price.
§ 447.506Authorized generic drugs.
§ 447.507Identification of inhalation, infusion, instilled, implanted, or injectable drugs (5i drugs).
§ 447.508Exclusion from best price of certain sales at a nominal price.
§ 447.509Medicaid drug rebates (MDR).
§ 447.510Requirement and penalties for manufacturers.
§ 447.511Requirements for States.
§ 447.512Drugs: Aggregate upper limits of payment.
§ 447.514Upper limits for multiple source drugs.
§ 447.516Upper limits for drugs furnished as part of services.
§ 447.518State plan requirements, findings, and assurances.
§ 447.520Federal Financial Participation (FFP): Conditions relating to physician-administered drugs.
§ 447.522Optional coverage of investigational drugs and other drugs not subject to rebate.