42 C.F.R. § 403.300   Basis and purpose.


Title 42 - Public Health


Title 42: Public Health
PART 403—SPECIAL PROGRAMS AND PROJECTS
Subpart C—Recognition of State Reimbursement Control Systems

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§ 403.300   Basis and purpose.

(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.

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