[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: 42CFR447.15]



[Page 308]

 

                         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.  447.15  Acceptance of State payment as payment in full.



    A State plan must provide that the Medicaid agency must limit 

participation in the Medicaid program to providers who accept, as 

payment in full, the amounts paid by the agency plus any deductible, 

coinsurance or copayment required by the plan to be paid by the 

individual. However, the provider may not deny services to any eligible 

individual on account of the individual's inability to pay the cost 

sharing amount imposed by the plan in accordance with Sec.  431.55(g) or 

Sec.  447.53. The previous sentence does not apply to an individual who 

is able to pay. An individual's inability to pay does not eliminate his 

or her liability for the cost sharing charge.



[50 FR 23013, May 30, 1985]