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FEDERAL · 42 CFR

Part 489 — Provider Agreements and Supplier Approval

49 sections · Title 42: Public Health

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