42 C.F.R. § 447.21

Current through November 22, 2021
Section 447.21 - Reduction of payments to providers

If a provider seeks to collect from an individual (or any financially responsible relative or representative of that individual) an amount that exceeds an amount specified under §447.20(a)-

(a) The Medicaid agency may provide for a reduction of any payment amount otherwise due to the provider in addition to any other sanction available to the agency; and
(b) The reduction may be equal to up to three times the amount that the provider sought to collect in violation of §447.20(a).

42 C.F.R. §447.21

55 FR 1433, Jan. 16, 1990