Part 489 — Provider Agreements and Supplier Approval
Subpart A — General Provisions
- § 489.1— Statutory basis.
- § 489.2— Scope of part.
- § 489.3— Definitions.
- § 489.10— Basic requirements.
- § 489.11— Acceptance of a provider as a participant.
- § 489.12— Decision to deny an agreement.
- § 489.13— Effective date of agreement or approval.
- § 489.18— Change of ownership or leasing: Effect on provider agreement.
Subpart B — Essentials of Provider Agreements
- § 489.20— Basic commitments.
- § 489.21— Specific limitations on charges.
- § 489.22— Special provisions applicable to prepayment requirements.
- § 489.23— Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans.
- § 489.24— Special responsibilities of Medicare hospitals in emergency cases.
- § 489.25— Special requirements concerning CHAMPUS and CHAMPVA programs.
- § 489.26— Special requirements concerning veterans.
- § 489.27— Beneficiary notice of discharge or change in status rights.
- § 489.28— Special capitalization requirements for HHAs.
- § 489.29— Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health programs, and urban Indian organization health programs.
Subpart C — Allowable Charges
- § 489.30— Allowable charges: Deductibles and coinsurance.
- § 489.31— Allowable charges: Blood.
- § 489.32— Allowable charges: Noncovered and partially covered services.
- § 489.34— Allowable charges: Hospitals participating in State reimbursement control systems or demonstration projects.
- § 489.35— Notice to intermediary.
Subpart D — Handling of Incorrect Collections
Subpart E — Termination of Agreement and Reinstatement After Termination
Subpart F — Surety Bond Requirements for HHAs
- § 489.60— Definitions.
- § 489.61— Basic requirement for surety bonds.
- § 489.62— Requirement waived for Government-operated HHAs.
- § 489.63— Parties to the bond.
- § 489.64— Authorized Surety and exclusion of surety companies.
- § 489.65— Amount of the bond.
- § 489.66— Additional requirements of the surety bond.
- § 489.67— Term and type of bond.
- § 489.68— Effect of failure to obtain, maintain, and timely file a surety bond.
- § 489.69— Evidence of compliance.
- § 489.70— Effect of payment by the Surety.
- § 489.71— Surety's standing to appeal Medicare determinations.
- § 489.72— Effect of review reversing determination.
- § 489.73— Effect of conditions of payment.
- § 489.74— Incorporation into existing provider agreements.