42 C.F.R. § 447.55   Standard co-payment.


Title 42 - Public Health


Title 42: Public Health
PART 447—PAYMENTS FOR SERVICES
Subpart A—Payments: General Provisions
deductible, coinsurance, co-payment or similar cost-sharing charge

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§ 447.55   Standard co-payment.

(a) The plan may provide for a standard, or fixed, co-payment amount for any service.

(b) This standard copayment amount for any service may be determined by applying the maximum co-payment amounts specified in §447.54 (a) and (b) to the agency's average or typical payment for that service. For example, if the agency's typical payment for prescribed drugs is $4 to $5 per prescription, the agency might set a standard copayment of $0.50 per prescription.

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