42 C.F.R. § 424.70   Basis and scope.


Title 42 - Public Health


Title 42: Public Health
PART 424—CONDITIONS FOR MEDICARE PAYMENT
Subpart F—Limitations on Assignment and Reassignment of Claims

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§ 424.70   Basis and scope.

(a) Statutory basis. This subpart implements sections 1815(c) and 1842(b)(6) of the Act, which establish limitations on who may receive payments due a provider or supplier of services or a beneficiary.

(b) Scope. This subpart—

(1) Prohibits the assignment, reassignment, or other transfer of the right to Medicare payments except under specified conditions;

(2) Sets forth the sanctions that CMS may impose on a provider or supplier that violates this prohibition, or on a supplier that violates the conditions to which it agreed in accepting assignment from the individual; and

(3) Specifies the conditions for payment under court-ordered assignments or reassignments.

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