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Code of Federal Regulations Title 42. Public Health § 42.447.304 Adherence to upper limits;  FFP

Current as of October 02, 2022 | Updated by FindLaw Staff

(a) The Medicaid agency must not pay more than the upper limits described in this subpart.

(b) In the case of payments made under the plan for deductibles and coinsurance payable on an assigned Medicare claim for noninstitutional services, those payments may be made only up to the reasonable charge under Medicare.

(c) FFP is not available for a State's expenditures for services that are in excess of the amounts allowable under this subpart.

Note:  The Secretary may waive any limitation on reimbursement imposed by subpart F of this part for experiments conducted under section 402 of Pub.L. 90–428, Incentives for Economy Experimentation, as amended by section 222(b) of Pub.L. 92–603, and under section 222(a) of Pub.L. 92–603.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.447.304 Adherence to upper limits;  FFP - last updated October 02, 2022 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-447-304/

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