[Code of Federal Regulations]

[Title 42, Volume 4]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR489.22]



[Page 949]

 

                         TITLE 42--PUBLIC HEALTH

 

  CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF 

                  HEALTH AND HUMAN SERVICES (CONTINUED)

 

PART 489_PROVIDER AGREEMENTS AND SUPPLIER APPROVAL--Table of Contents

 

               Subpart B_Essentials of Provider Agreements

 

Sec.  489.22  Special provisions applicable to prepayment requirements.



    (a) A provider may not require an individual entitled to hospital 

insurance benefits to prepay in part or in whole for inpatient services 

as a condition of admittance as an inpatient, except where it is clear 

upon admission that payment under Medicare, Part A cannot be made.

    (b) A provider may not deny covered inpatient services to an 

individual entitled to have payment made for those services on the 

ground of inability or failure to pay a requested amount at or before 

admission.

    (c) A provider may not evict, or threaten to evict, an individual 

for inability to pay a deductible or a coinsurance amount required under 

Medicare.

    (d) A provider may not charge an individual for (1) its agreement to 

admit or readmit the individual on some specified future date for 

covered inpatient services; or (2) for failure to remain an inpatient 

for any agreed-upon length of time or for failure to give advance notice 

of departure from the provider's facilities.



[45 FR 22937, Apr. 4, 1980, as amended at 68 FR 46072, Aug. 4, 2003]