[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: 42CFR447.203]



[Page 317]

 

                         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 B_Payment Methods: General Provisions

 

Sec.  447.203  Documentation of payment rates.



    (a) The agency must maintain documentation of payment rates and make 

it available to HHS upon request.

    (b) The agency must record, in State manuals or other official 

files, the following information for increases in payment rates for 

individual practitioner services:

    (1) An estimate of the percentile of the range of customary charges 

to which the revised payment structure equates and a description of the 

methods used to make the estimate.

    (2) An estimate of the composite average percentage increase of the 

revised payment rates over the preceding rates.