[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

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

[CITE: 42CFR411.6]



[Page 379]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 411_EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT

--Table of Contents

 

    Subpart A_General Exclusions and Exclusion of Particular Services

 

Sec. 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 Sec. 

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 Sec. 

409.3 of this chapter) made by a participating hospital.