42 CFR 489.25
§ 489.25 Special requirements concerning CHAMPUS and CHAMPVA programs.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 489.25, § 489.25 Special requirements concerning CHAMPUS and CHAMPVA programs, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/207650
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Full text
For inpatient services, a hospital that participates in the Medicare program must participate in any health plan contracted under 10 U.S.C. 1079 or 1086 (Civilian Health and Medical Program of the Uniformed Services) and under 38 U.S.C. 613 (Civilian Health and Medical Program of the Veterans Administration) and accept the CHAMPUS/CHAMPVA-determined allowable amount as payment in full, less applicable deductible, patient cost-share, and noncovered items. Hospitals must meet the requirements of 32 CFR part 199 concerning program benefits under the Department of Defense. This section applies to inpatient services furnished to beneficiaries admitted on or after January 1, 1987.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.