US · guidance
CMS Pub. 100-04, ch. 2, § 10.6
Hospitals May Require Prepayment for Noncovered Services
HO-303.3
With regard to noncovered services (e.g., personal comfort items, a private duty nurse),
the hospital may deny such services for which the beneficiary has not paid or offered
satisfactory assurance of payment if that is the hospital’s practice with nonbeneficiary
patients. For example, a private room or TV set need not be furnished to a patient who
requests it but is unable to prepay or offer the assurance of payment which is usually
required.
Where the individual has exhausted his/her covered inpatient hospital benefits, or cannot
supply satisfactory evidence of entitlement under Part A, providers are free to apply to
such persons the hospital’s usual policy with respect to requiring prepayment or other
assurance of payment where the patient has no insurance. In addition, for the
beneficiaries receiving covered inpatient services who are not enrolled for medical
insurance (Part B), the hospital can apply its usual policy on prepayment or assurance of
payment with regard to services of salaried physicians provided.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
71665e10097554fece3baf6cc93588a26c4f02186ddf75b94b41cb995cef909d
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