42 C.F.R. § 447.200
Basis and purpose
This subpart prescribes State plan requirements for setting payment rates to implement, in part, section 1902(a)(30) of the Act, which requires that payments for services be consistent with efficiency, economy, and quality of care.
Notes of Decisions
Cited in 14
cases, 1988–2020 · leading case: Morcos S. Azer Doctor's Med. Lab'y, Inc. v. Kathleen Connell John Chen Steven Fujimori Joseph P. Munso Al Schaden, 306 F.3d 930 (9th Cir. 2002).
Morcos S. Azer Doctor's Med. Lab'y, Inc. v. Kathleen Connell John Chen Steven Fujimori Joseph P. Munso Al Schaden, 306 F.3d 930 (9th Cir. 2002). “§§ 1396a(a)(3), (a)(42); 42 C.F.R. §§ 447.200 , 447.202, 455.12 .23.”
Amisub (Psl), Inc. v. State of Colorado Dep't of Soc. Servs., 879 F.2d 789 (10th Cir. 1989). “1396a(a)(13)(A); 42 C.F.R. 447.200(a); 42 C.F.R. Sec. 447.”
Tarin v. Comm'r of Div. of Med. Assistance, 678 N.E.2d 146 (Mass. 1997). “A State that chooses to participate in the Medicaid program must develop and submit for Federal approval a State plan that complies with the Federal Medicaid Act, and its implementing regulations, 42 C.F.R. § 447.200 (1987). Massachusetts Hosp.”
Greenstein, Ex Rel. Horowitz v. Bane, 833 F. Supp. 1054 (S.D.N.Y. 1993). “§ 1396a(a)(30)(A); 42 C.F.R. § 447.200 et seq. The Medicaid rate is not a single fee but a range of fees which varies depending on the type of services and supplies being provided.”
Thomas v. Comm'r of Div. of Med. Assistance, 425 Mass. 738 (Mass. 1997). “, and the accompanying regulations, 42 C.F.R. § 447.200 (1987). See Tarin v. Commissioner of the Div.”
Massachusetts Hosp. Ass'n v. Dep't of Pub. Welfare, 419 Mass. 644 (Mass. 1995). “§ 1396a(a)(13)(A), and the procedural requirements set forth in 42 C.F.R. § 447.200 (1987). Any changes in the payment rates established in the State plan require the State *647 Medicaid agency to submit plan amendments to HCFA for approval.”
Am. Soc'y of Consultant Pharmacists v. Patla, 138 F. Supp. 2d 1062 (N.D. Ill. 2001). “§ 1396a(a)(30)(A), its attendant regulations ( 42 C.F.R. § 447.200 , 447.201, 447.203, 447.”
Temple Univ. v. White, 941 F.2d 201 (3rd Cir. 1991). “42 C.F.R. § 447.200 (1990). The MAP must “specify comprehensively the methods and standards used by the agency to set payment rates,” 42 C.”
Doctor's Med. Lab'y, Inc. v. Connell, 99 Cal. Daily Op. Serv. 913 (Cal. Ct. App. 1999). “§§ 1396a(a)(3), (a)(42); 42 C.F.R. §§ 447.200 , 447.202, 455.12-23 (1998).”
Himes v. Shalala, 999 F.2d 684 (2d Cir. 1993). “” 42 C.F.R. § 447.200 . Section 447.205 states in pertinent part that “the agency must provide public notice of any significant proposed change in its methods and standards for setting payment rates for services.”
Amisub (PSL), Inc. v. Colorado Dep't of Soc. Servs., 879 F.2d 789 (10th Cir. 1989). “HCFA’s review of the proposed State Plan is cursory at best.”
Visiting Nurse Ass'n of North Shore, Inc. v. Bullen, 866 F. Supp. 1444 (D. Mass. 1994). “) Likewise, the regulations governing the implementation of the Equal Access provision of 30(A), 42 C.F.R. 447.200, state that: This subpart prescribes State Plan requirements for setting payment rates to implement § 1902(a)(30) of the Act, which requires that payments for…”
— 42 C.F.R. § 447.200(a) — 2 cases
Amisub (Psl), Inc. v. State of Colorado Dep't of Soc. Servs., 879 F.2d 789 (10th Cir. 1989). “1396a(a)(13)(A); 42 C.F.R. 447.200(a); 42 C.F.R. Sec. 447.”
Amisub (PSL), Inc. v. Colorado Dep't of Soc. Servs., 879 F.2d 789 (10th Cir. 1989). “HCFA’s review of the proposed State Plan is cursory at best.”
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