StacksVerified U.S. regulatory reference

42 CFR §447.21

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
If a provider seeks to collect from an individual (or any financially responsible relative or representative of that individual) an amount that exceeds an amount specified under § 447.20(a)—
  1. (a)The Medicaid agency may provide for a reduction of any payment amount otherwise due to the provider in addition to any other sanction available to the agency; and
  2. (b)The reduction may be equal to up to three times the amount that the provider sought to collect in violation of § 447.20(a).