42 CFR Part 489
PART 489—PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
- PART 489—PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
- Chapter IV—Centers for Medicare & Medicaid Services, Department of Health and Human Services › Subchapter G—Standards and Certification
- 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.
- 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 or change in status 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.
- 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.
- 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.
- 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.
- 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.
- Subparts G-H [Reserved]
- Subpart I—Advance Directives
- § 489.100 Definition.
- § 489.102 Requirements for providers.
- § 489.104 Effective dates.
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