42 C.F.R. § 418.405

Effect of coinsurance liability on Medicare payment.

Last amended: 2017Year: 2026Length: 51 wordsOfficial source

Cite as 42 C.F.R. § 418.405 (2026)

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. [56 FR 26919, June 12, 1991]
Cross-references to the CFR
418.306
42 C.F.R. § 418.405: Effect of coinsurance liability on Medicare payment. | Justis AI