42 CFR § 447.280 - Hospital providers of NF services (swing-bed hospitals).
---
identifier: "/us/cfr/t42/s447.280"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 447.280 - Hospital providers of NF services (swing-bed hospitals)."
title_number: 42
title_name: "Public Health"
section_number: "447.280"
section_name: "Hospital providers of NF services (swing-bed hospitals)."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "C"
subchapter_name: "MEDICAL ASSISTANCE PROGRAMS"
part_number: "447"
part_name: "PAYMENTS FOR SERVICES"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302, and 1396r-8, and Pub. L. 111-148."
regulatory_source: "43 FR 45253, Sept. 29, 1978, unless otherwise noted."
cfr_part: "447"
---
# 447.280 Hospital providers of NF services (swing-bed hospitals).
(a) *General rule.* If the State plan provides for NF services furnished by a swing-bed hospital, as specified in §§ 440.40(a) and 440.150(f) of this chapter, the methods and standards used to determine payment rates for routine NF services must—
(1) Provide for payment at the average rate per patient day paid to NFs, as applicable, for routine services furnished during the previous calendar year; or
(2) Meet the State plan and payment requirements described in this subpart, as applicable.
(b) *Application of the rule.* The payment methodology used by a State to set payment rates for routine NF services must apply to all swing-bed hospitals in the State.
[59 FR 56237, Nov. 10, 1994]