[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR447.250]



[Page 318]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 447_PAYMENTS FOR SERVICES--Table of Contents

 

  Subpart C_Payment for Inpatient Hospital and Long-Term Care Facility 

                                Services

 

Sec.  447.250  Basis and purpose.



    Source: 46 FR 47971, Sept. 30, 1981, unless otherwise noted.





    (a) This subpart implements section 1902(a)(13)(A) of the Act, which 

requires that the State plan provide for payment for hospital and long-

term care facility services through the use of rates that the State 

finds, and makes assurances satisfactory to the Secretary, are 

reasonable and adequate to meet the costs that must be incurred by 

efficiently and economically operated facilities to provide services in 

conformity with State and Federal laws, regulations, and quality and 

safety standards.

    (b) Section 447.253(a)(2) implements section 1902(a)(30) of the Act, 

which requires that payments be consistent with efficiency, economy, and 

quality of care;

    (c) Sections 447.253 (c) and (d) implement sections 1902(a)(13)(B) 

and 1902(a)(13)(C) of the Act, which require a State Medicaid agency to 

make certain assurances to the Secretary regarding increases in payments 

resulting solely from changes in ownerships of hospitals, NFs, and ICFs/

MR.

    (d) Section 447.271 implements section 1903(i)(3) of the Act, which 

requires that payments for inpatient hospital services not exceed the 

hospital's customary charges.

    (e) Section 447.280 implements section 1913(b) of the Act, which 

concerns reimbursement for long-term care services furnished by swing-

bed hospitals.



[48 FR 56057, Dec. 19, 1983, as amended at 57 FR 43921, Sept. 23, 1992]



                              Payment Rates