[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: 42CFR489.34]



[Page 959-960]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 489_PROVIDER AGREEMENTS AND SUPPLIER APPROVAL--Table of Contents

 

                       Subpart C_Allowable Charges

 

Sec.  489.34  Allowable charges: Hospitals participating in State 



reimbursement control systems or demonstration projects.



    A hospital receiving payment for a covered hospital stay under 

either a State reimbursement control system approved under 1886(c) of 

the Act or a demonstration project authorized under section 402(a) of 

Pub. L. 90-248 (42 U.S.C. 1395b-1) or section 222(a) of Pub. L. 92-603 

(42 U.S.C. 1395b-1 (note)) and that would otherwise be subject to the



[[Page 960]]



prospective payment system set forth in part 412 of this chapter may 

charge a beneficiary for noncovered services as follows:

    (a) For the custodial care and medically unnecessary services 

described in Sec.  412.42(c) of this chapter, after the conditions of 

Sec.  412.42(c)(1) through (c)(4) are met; and

    (b) For all other services in accordance with the applicable rules 

of this subpart C.



[54 FR 41747, Oct. 11, 1989]