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Code of Federal Regulations (Last Updated: July 5, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 411 - Exclusions from Medicare and Limitations on Medicare Payment |
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Subpart A - General Exclusions and Exclusion of Particular Services |
§ 411.6 - Services furnished by a Federal provider of services or other Federal agency.
Latest version.
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§ 411.6 Services furnished by a Federal provider of services or other Federal agency.
(a) Basic rule. Except as provided in paragraph (b) of this section, Medicare does not pay for services furnished by a Federal provider of services or other Federal agency.
(b) Exceptions. Payment may be made -
(1) For emergency hospital services, if the conditions of § 424.103 of this chapter are met;
(2) For services furnished by a participating Federal provider which CMS has determined is providing services to the public generally as a community institution or agency;
(3) For services furnished by participating hospitals and SNFs of the Indian Health Service; and
(4) For services furnished under arrangements (as defined in § 409.3 of this chapter) made by a participating hospital.