US · guidance
CMS Pub. 100-02, ch. 15, § 20
When Part B Expenses Are Incurred
B3-2005
Part B expenses for items and services other than expenses for surgery and childbirth (see §20.1, below), are
considered to have been incurred on the date the beneficiary received the item or service, regardless of when
it was paid for or ordered. Therefore, when an individual orders an item prior to his or her entitlement to
supplemental medical insurance (SMI) but receives the item after the effective date of SMI enrollment, the
expense is considered incurred after entitlement began. However, if an item not custom-made for the
beneficiary was ordered but not furnished, no reimbursement can be made. (See §20.3 for rules concerning
custom-made items ordered but not furnished and the Medicare Claims Processing Manual, Chapter 20,
“Durable Medical Equipment, Prosthetics and Orthotics, and Supplies (DMEPOS),” for additional rules
concerning the date of incurred expenses for durable medical equipment.)
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
18740fb15bfa00519cd4f7f50712223bf124f4295f0254cb52104359d1c72cca
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