About GPO   |   Newsroom/Media   |   Congressional Relations   |   Inspector General   |   Careers   |   Contact   |   askGPO   |   Help  
 
Home   |   Customers   |   Vendors   |   Libraries  

The Electronic Code of Federal Regulations (e-CFR) is a regularly updated, unofficial editorial compilation of CFR material and Federal Register amendments produced by the National Archives and Records Administration's Office of the Federal Register (OFR) and the Government Printing Office.

Parallel Table of Authorities and Rules for the Code of Federal Regulations and the United States Code
Text | PDF

Find, review, and submit comments on Federal rules that are open for comment and published in the Federal Register using Regulations.gov.

Purchase individual CFR titles from the U.S. Government Online Bookstore.

Find issues of the CFR (including issues prior to 1996) at a local Federal depository library.

[1]
 
 

Electronic Code of Federal Regulations

blue pill

e-CFR Data is current as of October 30, 2014

Title 42Chapter IVSubchapter GPart 489


TITLE 42—Public Health

CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)

SUBCHAPTER G—STANDARDS AND CERTIFICATION

PART 489—PROVIDER AGREEMENTS AND SUPPLIER APPROVAL

rule

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.
rule

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 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.
rule

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.
rule

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.
rule

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.
rule

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.
rule

Subparts G-H [Reserved]

rule

Subpart I—ADVANCE DIRECTIVES

§489.100
Definition.
§489.102
Requirements for providers.
§489.104
Effective dates.


For questions or comments regarding e-CFR editorial content, features, or design, email ecfr@nara.gov.
For questions concerning e-CFR programming and delivery issues, email webteam@gpo.gov.