C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER A—GENERAL PROVISIONS › PART 403—SPECIAL PROGRAMS AND PROJECTS › Subpart C—Recognition of State Reimbursement Control Systems

42 C.F.R. § 403.300

Basis and purpose

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(a) Basis. This subpart implements section 1886(c) of the Act, which authorizes payment for Medicare inpatient hospital services in accordance with a State's reimbursement control system rather than under the Medicare reimbursement principles as described in CMS's regulations and instructions.

(b) Purpose. Contained in this subpart are—

(1) The basic requirements that a State reimbursement control system must meet in order to be approved by CMS;

(2) A description of CMS's review and evaluation procedures; and

(3) The conditions that apply if the system is approved.

Notes of Decisions
Cited in 1 case, 1986–1986 · leading case: Kean v. Heckler, 799 F.2d 895 (3rd Cir. 1986).
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Kean v. Heckler, 799 F.2d 895 (3rd Cir. 1986). “15,492 (1986) (effective May 27, 1986) (to be codified at 42 C.F.R. §§ 403.300 -.322).”
Annotations are extracted automatically from the opinions in the Syfert caselaw corpus and ranked by authority, recency, and treatment. Dots show Syfertize treatment of the citing case itself.