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US · guidance

CMS Pub. 100-02, ch. 8, § 20.3.1.4

Payment Under Part B During a Payment Ban on New

activein force · 2026-08-25 – presentas-observed

Admissions

(Rev. 1, 10-01-03)

Facilities subject to a payment ban may continue to bill services for beneficiaries who are

not in a Part A stay in the same way as any other SNF. However, services that would

have been payable to the SNF as Part A benefits in the absence of a payment sanction

must not be billed to either the A/B MAC (A) or the A/B MAC (B) as Part B services.

History

(Rev. 1, 10-01-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
8117385143ded03079ab7a706252464c6868e60f03dca43d5c78e115c7185fde
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