42 CFR 403.300 : Public Health (Part 1 To Parts 1009-1099) — (Subpart A To § 413.355) — Centers For Medicare & Medicaid Services, Department Of Health And Human Services (Subpart A To § 413.355) — General Provisions (Subpart A To § 403.1110) — Special Programs And Projects (Subpart A To § 403.1110) — Recognition Of State Reimbursement Control Systems (§ 403.300 To § 403.322) — Basis and purpose.

4 Aug 2016

(a) Basis. This subpart implements section 1886(c) of the Act, which authorizes payment for Medicare inpatient hospital services in accordance with a State's reimbursement control system rather than under the Medicare reimbursement principles as described in CMS's regulations and instructions.

(b) Purpose. Contained in this subpart are -

(1) The basic requirements that a State reimbursement control system must meet in order to be approved by CMS;

(2) A description of CMS's review and evaluation procedures; and

(3) The conditions that apply if the system is approved.

42 CFR 403.300