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COMMONWEALTH OF MASSACHUSETTS
Pursuant to 42 USC § 1396a(a)(13)(A) and 42 CFR § 447.205, EOHHS is hereby amending effective January 2, 2015, MassHealth in-state outpatient hospital payment methods for participating Chronic Disease, Rehabilitation, or similar hospitals (“CDR hospitals”) with both out-of-state inpatient facilities and in-state outpatient facilities.
42 cfr part 447

[DOC File]DEPARTMENT OF HUMAN SERVICES - State
https://info.5y1.org/42-cfr-447_1_42d2b7.html
42 CFR Section 447.520 contains conditions relating to physician-administered drugs and states that no state can request Federal funding for the cost of such drugs unless claims for these drugs identify drugs sufficiently for the state to bill a manufacturer for drug rebates.
42 cfr 447.45 b

[DOCX File]Overview Medicaid MOE Questions
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Effective the month following the month in which the emergency ends, a state may resume implementation of its premium policy under 42 CFR 447.55(b)(2) or other authorized policy with respect to premium non-payment, such as under an approved section 1115 waiver.
42 cfr medicare regulations

[DOC File]Implementation Guides
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42 CFR 447.50 - 447.57 (excluding 447.55) INTRODUCTION. This state plan page (fillable PDF) G1 is used to indicate if the state charges cost sharing (deductibles, co-insurance or co-payments) to individuals covered under the Medicaid state plan, and the general provisions and assurances related to the imposition of cost sharing.
42 cfr 477.10

[DOCX File]Contract Requirements - Wa
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42 cfr 447.15 ), the state must limit participation in the Medicaid program to only providers who accept the Medicaid state payment and client participation as payment in full. Supplementation for services or items
42 cfr 447 subpart c

COMMONWEALTH OF MASSACHUSETTS
Pursuant to 42 USC § 1396a(a)(13)(A) and 42 CFR § 447.205, EOHHS hereby proposes changes effective January 2, 2015, to MassHealth in-state outpatient hospital payment methods for participating Chronic Disease, Rehabilitation, or similar hospitals (“CDR hospitals”) with both out-of-state inpatient facilities and in-state outpatient facilities.
42 cfr part 2 pdf

[DOC File]Medicaid Primary Care Physician (PCP) Certification and ...
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I attest that according to 42 Code of Federal Regulations (CFR) 447 “Payment of Services,” I am eligible for the increased payment because I am a physician as defined in 42 CFR 440.50 with one of the following specialty or subspecialty designations recognized by the American Board of Medical Specialties (ABMS), American Board of Physician ...
42 cfr release of information

[DOCX File]7.4. Medicaid Disaster Relief for the COVID-19 National ...
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These requirements may include those specified in 42 CFR 440.386 (Alternative Benefit Plans), 42 CFR 447.57(c) (premiums and cost sharing), and 42 CFR 447.205 (public notice of changes in statewide methods and standards for setting payment rates).
42 cfr 447.510

[DOC File]Implementation Guides
https://info.5y1.org/42-cfr-447_1_f38f4b.html
42 CFR 447.52 - 447.54. INTRODUCTION. This state plan page (fillable PDF) G2c is used to indicate if the state targets cost sharing charges (deductibles, co-insurance or co-payments) to specific groups of individuals covered under the state plan, and if so, the provisions for administering targeted cost sharing.
42 cfr part 447

[DOCX File]Medicaid.gov: the official U.S. government site for ...
https://info.5y1.org/42-cfr-447_1_99d009.html
Implementing regulations at 42 CFR 430.10 require that the state plan be a comprehensive written statement containing “all information necessary for CMS to determine whether the plan can be approved as a basis for Federal Financial Participation (FFP) in the State program.”
42 cfr 447.45 b

42 cfr 447