[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

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

[CITE: 42CFR405.358]



[Page 92]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 405_FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED--Table of 

Contents

 

Subpart C_Suspension of Payment, Recovery of Overpayments, and Repayment 

                        of Scholarships and Loans

 

Sec. 405.358  When waiver of adjustment or recovery may be applied.



    Section 1870(c) of the Act provides that there shall be no 

adjustment or recovery in any case where an incorrect payment under 

title XVIII (hospital and supplementary medical insurance benefits) has 

been made (including a payment under section 1814(e) of the Act with 

respect to an individual:

    (a) Who is without fault, and

    (b) Adjustment or recovery would either:

    (1) Defeat the purposes of title II or title XVIII of the Act, or

    (2) Be against equity and good conscience.



[61 FR 49271, Sept. 19, 1996]