# 42 CFR § 447.40: Payments for reserving beds in institutions

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-42-447.40

## Section

- **Citation:** 42 CFR § 447.40
- **Heading:** Payments for reserving beds in institutions
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** Title 42—Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER C—MEDICAL ASSISTANCE PROGRAMS > PART 447—PAYMENTS FOR SERVICES > Subpart A—Payments: General Provisions

## Text

(a) The Medicaid agency may make payments to reserve a bed during a beneficiary's temporary absence from an inpatient facility, if—
(1) The State plan provides for such payments and specifies any limitations on the policy; and
(2) Absences for purposes other than required hospitalization (which cannot be anticipated and planned) are included in the patient's plan of care.
(b) An agency that pays for reserved beds in an inpatient facility may pay less for a reserved bed than an occupied bed if there is a cost differential between the two beds. (Section 1102 of the Act.)
[43 FR 45253, Sept. 29, 1978, as amended at 51 FR 24491, July 3, 1986]

## Nearby sections

- [42 CFR § 447.1 § 447.1 Purpose.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.1.md)
- [42 CFR § 447.10 § 447.10 Prohibition against reassignment of provider claims.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.10.md)
- [42 CFR § 447.15 § 447.15 Acceptance of State payment as payment in full.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.15.md)
- [42 CFR § 447.20 § 447.20 Provider restrictions: State plan requirements.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.20.md)
- [42 CFR § 447.21 § 447.21 Reduction of payments to providers.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.21.md)
- [42 CFR § 447.25 § 447.25 Direct payments to certain beneficiaries for physicians' or dentists' services.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.25.md)
- [42 CFR § 447.26 § 447.26 Prohibition on payment for provider-preventable conditions.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.26.md)
- [42 CFR § 447.30 § 447.30 Withholding the Federal share of payments to Medicaid providers to recover Medicare overpayments.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.30.md)
- [42 CFR § 447.31 § 447.31 Withholding Medicare payments to recover Medicaid overpayments.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.31.md)
- [42 CFR § 447.40 § 447.40 Payments for reserving beds in institutions.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.40.md)
- [42 CFR § 447.45 § 447.45 Timely claims payment.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.45.md)
- [42 CFR § 447.46 § 447.46 Timely claims payment by MCOs.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.46.md)
- [42 CFR § 447.200 § 447.200 Basis and purpose.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.200.md)
- [42 CFR § 447.201 § 447.201 State plan requirements.](https://www.frixlaw.com/law-library/statutes/ecfr-42-447.201.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-42-447.40. Check the current official text before relying on it. Not legal advice.