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Code of Federal Regulations
C.F.R. Title 42—Public Health
CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS
PART 447—PAYMENTS FOR SERVICES
Subpart A—Payments: General Provisions

42 C.F.R. § 447.1

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Purpose.

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§ 447.1 Purpose.

This subpart prescribes State plan requirements, FFP limitations and procedures concerning payments made by State Medicaid agencies for Medicaid services.

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Source: 43 FR 45253, Sept. 29, 1978, unless otherwise noted.

Table of Contents

Subpart A—Payments: General Provisions

§447.1 Purpose.
§447.10 Prohibition against reassignment of provider claims.
§447.15 Acceptance of State payment as payment in full.
§447.20 Provider restrictions: State plan requirements.
§447.21 Reduction of payments to providers.
§447.25 Direct payments to certain beneficiaries for physicians' or dentists' services.
§447.26 Prohibition on payment for provider-preventable conditions.
§447.30 Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments.
§447.31 Withholding Medicare payments to recover Medicaid overpayments.
§447.40 Payments for reserving beds in institutions.
§447.45 Timely claims payment.
§447.46 Timely claims payment by MCOs.
Medicaid Premiums and Cost Sharing

About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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