42 C.F.R. PART 489--PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER G--STANDARDS AND CERTIFICATION
PART 489--PROVIDER AGREEMENTS AND SUPPLIER APPROVAL
Subpart A--GENERAL PROVISIONS
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Acceptance of a provider as a participant.
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Decision to deny an agreement.
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Effective date of agreement or approval.
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Change of ownership or leasing: Effect on provider agreement.
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Subpart B--ESSENTIALS OF PROVIDER AGREEMENTS
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Specific limitations on charges.
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Special provisions applicable to prepayment requirements.
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Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans.
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Special responsibilities of Medicare hospitals in emergency cases.
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Special requirements concerning CHAMPUS and CHAMPVA programs.
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Special requirements concerning veterans.
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Beneficiary notice of discharge rights.
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Special capitalization requirements for HHAs.
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Subpart C--ALLOWABLE CHARGES
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Allowable charges: Deductibles and coinsurance.
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Allowable charges: Blood.
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Allowable charges: Noncovered and partially covered services.
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Allowable charges: Hospitals participating in State reimbursement control systems or demonstration projects.
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Subpart D--HANDLING OF INCORRECT COLLECTIONS
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Definition of incorrect collection.
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Timing and methods of handling.
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Payment of offset amounts to beneficiary or other person.
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Subpart E--TERMINATION OF AGREEMENT AND REINSTATEMENT AFTER TERMINATION
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Termination by the provider.
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Exceptions to effective date of termination.
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Reinstatement after termination.
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Subpart F--SURETY BOND REQUIREMENTS FOR HHAS
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Basic requirement for surety bonds.
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Requirement waived for Government-operated HHAs.
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Authorized Surety and exclusion of surety companies.
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Additional requirements of the surety bond.
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Effect of failure to obtain, maintain, and timely file a surety bond.
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Effect of payment by the Surety.
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Surety's standing to appeal Medicare determinations.
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Effect of review reversing determination.
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Effect of conditions of payment.
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Incorporation into existing provider agreements.
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Subparts G-H--[RESERVED]
Subpart I--ADVANCE DIRECTIVES
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Requirements for providers.
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