---
kind: "section"
citation: "42 C.F.R. § 419.20"
title: "42"
number: "419.20"
heading: "Hospitals subject to the hospital outpatient prospective payment system."
url: "https://uscodex.org/cfr/42/419.20"
---

# §419.20. Hospitals subject to the hospital outpatient prospective payment system.

- (a) **Applicability.** The hospital outpatient prospective payment system is applicable to any hospital participating in the Medicare program, except those specified in [paragraph (b)](#b) of this section, for services furnished on or after August 1, 2000.
- (b) **Hospitals excluded from the outpatient prospective payment system.**
  - (1) Those services furnished by Maryland hospitals that are paid under a cost containment waiver in accordance with section 1814(b)(3) of the Act are excluded from the hospital outpatient prospective payment system.
  - (2) **Critical access hospitals (CAHs) are excluded from the hospital outpatient prospective payment system.**
  - (3) A hospital located outside one of the 50 States, the District of Columbia, and Puerto Rico is excluded from the hospital outpatient prospective payment system.
  - (4) **A hospital of the Indian Health Service.**
  - (5) **A rural emergency hospital (REH).**

## Notes

### Amendments

[65 FR 18542, Apr. 7, 2000, as amended at 66 FR 59922, Nov. 30, 2001; 88 FR 82180, Nov. 22, 2023]

### Authority

Authority: 42 U.S.C. 1302, 1395l(t), and 1395hh.

### Source

Source: 65 FR 18542, Apr. 7, 2000, unless otherwise noted.

### Amendments

[65 FR 18542, Apr. 7, 2000, as amended at 66 FR 59922, Nov. 30, 2001; 88 FR 82180, Nov. 22, 2023]