42 C.F.R. §413.30 - Limitations on payable costs

Cite as42 C.F.R. §413.30
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63 cases
  • Jordan Hosp. v. Leavitt, Civil Action No. 07-1160 (JDB).
    • United States
    • United States District Courts. United States District Court (Columbia)
    • August 15, 2008
    ...place certain caps on the costs that may be recognized as reasonable, and these caps are known as "routine service cost limits." See 42 C.F.R. § 413.30(a)-(b) Because new skilled nursing facilities usually incur increased costs during their first years of operation, the "new provider exempt......
  • The Univ. Of Tex. M.D. Anderson Cancer Ctr. v. Sebelius, Civil Action No. RDB-08-0946.
    • United States
    • United States District Courts. United States District Court (Columbia)
    • April 19, 2010
    ...by which a provider's costs can increase from one year to the next, after adjustments for inflation. 42 USC § 1395ww(b); see also 42 C.F.R. § 413.30(b)(1). Providers with operating costs that fall below the target amount are eligible for bonuses, while providers whose operating costs exceed......
  • French Hosp. Medical Center v. Shalala, 94-15366
    • United States
    • United States Courts of Appeals. United States Court of Appeals (9th Circuit)
    • July 9, 1996
    ...Medicare statute defining "reasonable cost" expressly authorizes the Secretary to establish cost limits. 42 U.S.C. § 1395x(v)(1)(A); 42 C.F.R. § 413.30. Pursuant to this statutory authorization, the Secretary, acting through the Health Care Financing Administration ("HCFA"), promulgated cos......
  • Maximum Home Health Care, Inc. v. Shalala, 3:99-0299.
    • United States
    • United States District Courts. 6th Circuit. United States District Court of Middle District of Tennessee
    • July 27, 2000
    ...costs may not exceed the costs estimated by HCFA to be necessary for Page 825 the efficient delivery of needed health services. 42 C.F.R. § 413.30 (emphasis The Medicare regulations further define the right to reimbursement and reasonable costs: "All payments to providers of services must b......
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