42 CFR 417.552
§ 417.552 Cost apportionment: General provisions.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 417.552, § 417.552 Cost apportionment: General provisions, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204268
- Permanent ID
ys:prov:204268@1- SHA-256
903fc7cae976bfa8882afb23038aee3ef0fd771705c9550a0aa7fb4e5d8692e1
The hash is SHA-256 of this version's text, with every run of whitespace collapsed to a single space and the ends trimmed. The ID always leads back here, and checking it says whether the text you cited is still the current version.
Full text
(a) Basic rule. The HMO or CMP must apportion its total allowable direct and indirect costs among its Medicare enrollees, its other enrollees, and its nonenrolled patients—
(1) In accordance with this subpart; and
(2) Using methods approved by CMS.
(b) Purpose of apportionment. The purpose of apportionment is to ensure that—
(1) The cost of services furnished to Medicare enrollees is not borne by other enrollees and nonenrolled patients; and
(2) The cost of the services furnished to other enrollees and nonenrolled patients is not borne by Medicare.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.