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| File Name |
CMS-2258-P |
| Subject |
Cost Limit for Providers Operated by Units of Government and Provisions To Ensure the Integrity of Federal-State Financial Partnership |
| Publication/Implementation Date |
01/18/2007 |
| Quarterly Release Date |
01/02/2007 |
| Provider Type |
Medicaid |
| Type of Regulation |
Regulations Published This Quarter |
| Regulation Summary |
This proposed rule would: Clarify that entities involved in the financing of the non-Federal share of Medicaid payments must be a unit of government; clarify the documentation required to support a certified public expenditure; limit reimbursement for health care providers that are operated by units of government to an amount that does not exceed the provider's cost; require providers to receive and retain the full amount of total computable payments for services furnished under the approved State plan; and make conforming changes to provisions governing the State Child Health Insurance Program (SCHIP). The provisions of this regulation apply to all providers of Medicaid and SCHIP services, except that Medicaid managed care organizations and SCHIP providers are not subject to the cost limit provision of this regulation. Except as noted above, all Medicaid payments (including disproportionate share hospital payments) made under the authority of the State plan and under Medicaid waiver and demonstration authorities are subject to all provisions of this regulation. |
| Additional Information |
N/A |
| | | Downloads |
CMS-2258-P [PDF, 112 KB] | | Related Links Inside CMS |
There are no Related Links Inside CMS
| | Related Links Outside CMS |  |
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Last Modified Date : 01/02/2007
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