US · guidance
CMS Pub. 100-02, ch. 8, § 20.3.1.3
Sanctions Lifted: Procedures for Beneficiaries Admitted
During the Sanction Period
(Rev. 1, 10-01-03)
For new admissions to certified beds, Medicare payments for eligible beneficiaries should
begin on the date the sanction is lifted. The beneficiary must meet technical eligibility
requirements (e.g., a 3-day hospital stay, etc.), services must be reasonable and necessary
and the beneficiary must be receiving skilled care. The date the sanction is lifted is
considered the first day of the Part A stay.
For SNF PPS payment purposes, the period between the actual date of admission and the
last day the sanction was in effect should be billed as non-covered days.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
408f24bbc3592fef13a08e989b7642467f1bb7d829601dbade84e26a6dc567d1
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