# 42 C.F.R. § 489.20 (2026): Basic commitments

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_20

## Section

- **Citation:** 42 C.F.R. § 489.20 (2026)
- **Heading:** Basic commitments
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Title 42 CFR: Public Health / Chapter IV / Part 489 / Subpart B / § 489.20: § 489.20   Basic commitments.

## Text

Link to an amendment published at 91 FR 36468, June 16, 2026. The provider agrees to the following: (a) To limit its charges to beneficiaries and to other individuals on their behalf, in accordance with provisions of subpart C of this part. (b) To comply with the requirements of subpart D of this part for the return or other disposition of any amounts incorrectly collected from a beneficiary or any other person in his or her behalf. (c) To comply with the requirements of § 420.203 of this chapter when it hires certain former employees of intermediaries. (d) In the case of a hospital or a CAH that furnishes services to Medicare beneficiaries, either to furnish directly or to make arrangements (as defined in § 409.3 of this chapter) for all Medicare-covered services to inpatients and outpatients of a hospital or a CAH except the following: (1) Physicians' services that meet the criteria of § 415.102(a) of this chapter for payment on a reasonable charge basis. (2) Physician assistant services, as defined in section 1861(s)(2)(K)(i) of the Act, that are furnished after December 31, 1990. (3) Nurse practitioner and clinical nurse specialist services, as defined in section 1861(s)(2)(K)(ii) of the Act. (4) Certified nurse-midwife services, as defined in section 1861(ff) of the Act, that are furnished after December 31, 1990. (5) Qualified psychologist services, as defined in section 1861(ii) of the Act, that are furnished after December 31, 1990. (6) Services of an anesthetist, as defined in § 410.69 of this chapter. (e) In the case of a hospital or CAH that furnishes inpatient hospital services or inpatient CAH services for which payment may be made under Medicare, to maintain an agreement with a QIO for that organization to review the admissions, quality, appropriateness, and diagnostic information related to those inpatient services

## Nearby sections

- [42 C.F.R. § 489.20 (2026) § 489.20   Basic commitments.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_20.md)
- [42 C.F.R. § 489.21 (2026) § 489.21   Specific limitations on charges.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_21.md)
- [42 C.F.R. § 489.22 (2026) § 489.22   Special provisions applicable to prepayment requirements.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_22.md)
- [42 C.F.R. § 489.23 (2026) § 489.23   Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_23.md)
- [42 C.F.R. § 489.24 (2026) § 489.24   Special responsibilities of Medicare hospitals in emergency cases.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_24.md)
- [42 C.F.R. § 489.25 (2026) § 489.25   Special requirements concerning CHAMPUS and CHAMPVA programs.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_25.md)
- [42 C.F.R. § 489.26 (2026) § 489.26   Special requirements concerning veterans.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_26.md)
- [42 C.F.R. § 489.27 (2026) § 489.27   Beneficiary notice of discharge or change in status rights.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_27.md)
- [42 C.F.R. § 489.28 (2026) § 489.28   Special capitalization requirements for HHAs.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_28.md)
- [42 C.F.R. § 489.29 (2026) § 489.29   Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health programs, and urban Indian organization health programs.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_29.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_20. Check the current official text before relying on it. Not legal advice.