C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS › PART 447—PAYMENTS FOR SERVICES › Subpart F—Payment Methods for Other Institutional and Noninstitutional Services

42 C.F.R. § 447.325

Other inpatient and outpatient facility services: Upper limits of payment

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The agency may pay the customary charges of the provider but must not pay more than the prevailing charges in the locality for comparable services under comparable circumstances.

Notes of Decisions
Cited in 2 cases, 2005–2005 · leading case: Alaska Dep't Of Health & Soc. Servs. v. Centers For Medicare & Medicaid Servs., 424 F.3d 931 (9th Cir. 2005).
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Alaska Dep't Of Health & Soc. Servs. v. Centers For Medicare & Medicaid Servs., 424 F.3d 931 (9th Cir. 2005). “is subject to the payment limits at 42 CFR 447.325. 16 The text of the proposed amendment thus tracks verbatim the UPL that the 2001 amendments made applicable to the tribal facilities at issue.”
Alaska Dep't of Health & Soc. Servs. v. Centers for Medicare & Medicaid Servs., 424 F.3d 931 (9th Cir. 2005). · cites it 7× “42 C.F.R. § 447.325 ; see 66 Fed.Reg. at 3159.”
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