e-CFR data is current as of January 21, 2020
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
Subpart A—GENERAL PROVISIONS
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| Acceptance of a provider as a participant. |
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| Decision to deny an agreement. |
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| Effective date of agreement or approval. |
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| Change of ownership or leasing: Effect on provider agreement. |
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Subpart B—ESSENTIALS OF PROVIDER AGREEMENTS
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| Specific limitations on charges. |
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| Special provisions applicable to prepayment requirements. |
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| Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans. |
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| Special responsibilities of Medicare hospitals in emergency cases. |
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| Special requirements concerning CHAMPUS and CHAMPVA programs. |
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| Special requirements concerning veterans. |
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| Beneficiary notice of discharge rights. |
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| Special capitalization requirements for HHAs. |
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| Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health programs, and urban Indian organization health programs. |
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Subpart C—ALLOWABLE CHARGES
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| Allowable charges: Deductibles and coinsurance. |
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| Allowable charges: Blood. |
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| Allowable charges: Noncovered and partially covered services. |
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| Allowable charges: Hospitals participating in State reimbursement control systems or demonstration projects. |
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Subpart D—HANDLING OF INCORRECT COLLECTIONS
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| Definition of incorrect collection. |
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| Timing and methods of handling. |
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| Payment of offset amounts to beneficiary or other person. |
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Subpart E—TERMINATION OF AGREEMENT AND REINSTATEMENT AFTER TERMINATION
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| Termination by the provider. |
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| Exceptions to effective date of termination. |
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| Reinstatement after termination. |
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Subpart F—SURETY BOND REQUIREMENTS FOR HHAS
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| Basic requirement for surety bonds. |
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| Requirement waived for Government-operated HHAs. |
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| Authorized Surety and exclusion of surety companies. |
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| Additional requirements of the surety bond. |
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| Effect of failure to obtain, maintain, and timely file a surety bond. |
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| Effect of payment by the Surety. |
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| Surety's standing to appeal Medicare determinations. |
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| Effect of review reversing determination. |
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| Effect of conditions of payment. |
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| Incorporation into existing provider agreements. |
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Subparts G-H [Reserved]
Subpart I—ADVANCE DIRECTIVES
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| Requirements for providers. |
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