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Title 42 → Chapter IV → Subchapter G → Part 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.

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