[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: 42CFR418.308]



[Page 931]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 418_HOSPICE CARE--Table of Contents

 

                   Subpart G_Payment for Hospice Care

 

Sec. 418.308  Limitation on the amount of hospice payments.



    (a) Except as specified in paragraph (b) of this section, the total 

Medicare payment to a hospice for care furnished during a cap period is 

limited by the hospice cap amount specified in Sec. 418.309.

    (b) Until October 1, 1986, payment to a hospice that began operation 

before January 1, 1975 is not limited by the amount of the hospice cap 

specified in Sec. 418.309.

    (c) The intermediary notifies the hospice of the determination of 

program reimbursement at the end of the cap year in accordance with 

procedures similar to those described in Sec. 405.1803 of this chapter.

    (d) Payments made to a hospice during a cap period that exceed the 

cap amount are overpayments and must be refunded.



[48 FR 56026, Dec. 16, 1983; 48 FR 57282, Dec. 29, 1983]