42 CFR 455.460
§ 455.460 Application fee.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 455.460, § 455.460 Application fee, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/206579
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Full text
(a) Beginning on or after March 25, 2011, States must collect the applicable application fee prior to executing a provider agreement from a prospective or re-enrolling provider other than either of the following:
(1) Individual physicians or nonphysician practitioners.
(2)(i) Providers who are enrolled in either of the following:
(A) Title XVIII of the Act.
(B) Another State's title XIX or XXI plan.
(ii) Providers that have paid the applicable application fee to—
(A) A Medicare contractor; or
(B) Another State.
(b) If the fees collected by a State agency in accordance with paragraph (a) of this section exceed the cost of the screening program, the State agency must return that portion of the fees to the Federal government.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.