[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: 42CFR447.55]



[Page 316]

 

                         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 A_Payments: General Provisions

 

Sec.  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 Sec.  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.