42 CFR 489.34
§ 489.34 Allowable charges: Hospitals participating in State reimbursement control systems or demonstration projects.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 489.34, § 489.34 Allowable charges: Hospitals participating in State reimbursement control systems or demonstration projects, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/207659
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Full text
A hospital receiving payment for a covered hospital stay under either a State reimbursement control system approved under 1886(c) of the Act or a demonstration project authorized under section 402(a) of Pub. L. 90-248 (42 U.S.C. 1395b-1) or section 222(a) of Pub. L. 92-603 (42 U.S.C. 1395b-1 (note)) and that would otherwise be subject to the prospective payment system set forth in part 412 of this chapter may charge a beneficiary for noncovered services as follows:
(a) For the custodial care and medically unnecessary services described in § 412.42(c) of this chapter, after the conditions of § 412.42(c)(1) through (c)(4) are met; and
(b) For all other services in accordance with the applicable rules of this subpart C.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.