Basis and scope.

42 CFR § 424.70

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42 CFR § 424.70

Basis and scope.

(a)

Statutory basis. This subpart implements sections 1815(c) and 1842(b)(6) of the Act, which establish limitations on who may receive payments due a provider or supplier of services or a beneficiary.

(b)

Scope. This subpart—

(1)

Prohibits the assignment, reassignment, or other transfer of the right to Medicare payments except under specified conditions;

(2)

Sets forth the sanctions that CMS may impose on a provider or supplier that violates this prohibition, or on a supplier that violates the conditions to which it agreed in accepting assignment from the individual; and

(3)

Specifies the conditions for payment under court-ordered assignments or reassignments.

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