[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: 42CFR447.51]



[Page 313-314]

 

                         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.  447.51  Requirements and options.



    (a) The plan must provide that the Medicaid agency does not impose 

any enrollment fee, premium, or similar charge upon categorically needy 

individuals, as defined in Sec. Sec.  435.4 and 436.3 of this 

subchapter, for any services available under the plan.

    (b) The plan may impose an enrollment fee, premium, or similar 

charge on medically needy individuals, as defined in Sec. Sec.  435.4 

and 436.3 of this subchapter, for any services available under the plan.

    (c) For each charge imposed under paragraph (b) of this section, the 

plan must specify--

    (1) The amount of the charge;

    (2) The period of liability for the charge; and



[[Page 314]]



    (3) The consequences for an individual who does not pay.

    (d) The plan must provide that any charge imposed under paragraph 

(b) of this section is related to total gross family income as set forth 

under Sec.  447.52.