42 CFR 418.405
§ 418.405 Effect of coinsurance liability on Medicare payment.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 418.405, § 418.405 Effect of coinsurance liability on Medicare payment, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204379
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Full text
The Medicare payment rates established by CMS in accordance with § 418.306 are not reduced when the individual is liable for coinsurance payments. Instead, when establishing the payment rates, CMS offsets the estimated cost of services by an estimate of average coinsurance amounts hospices collect.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.