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Title: Section 86-4.7 - Title XVIII (Medicare) certification

Effective Date


86-4.7 Title XVIII (Medicare) certification. Any facility eligible for Title XVIII (Medicare) certification providing services to patients insured under Title XIX which is not, or ceases to be, a Title XVIII provider of care shall have its current reimbursement rate reduced by 10 percent. This rate reduction may remain in effect until the first day of the month following certification of such a provider by the Title XVIII program. Such rate reductions shall be in addition to any revision of rates based on audit exceptions.


VOLUME A-2 (Title 10)