42 CFR § 489.22 Provider Agreements and Supplier Approval

§ 489.22 Special provisions applicable to prepayment requirements.

Current through Oct 8, 2026 · Read all of Part 489

⚠ 1 pending change to Part 489

(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]

← § 489.21 Specific limitations on charges.§ 489.23 Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans. →