42 CFR 489.22
§ 489.22 Special provisions applicable to prepayment requirements.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 489.22, § 489.22 Special provisions applicable to prepayment requirements, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/207647
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Full text
(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.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.