US · guidance
CMS Pub. 100-04, ch. 4, § 250.4
CAH Outpatient Services Part B Deductible and Coinsurance
Payment for outpatient services of a CAH is subject to applicable Medicare Part B
deductible and coinsurance amounts unless waived based on statute.
For information on the application of deductible and coinsurance for screening and
preventive services, see chapter 18 of Pub. 100-04, Medicare Claims Processing Manual.
Payments for clinical diagnostic laboratory tests furnished to CAH outpatients on or after
November 29, 1999, are made on a reasonable cost basis with no beneficiary cost-sharing
- no coinsurance, deductible, copayment, or any other cost-sharing.
History
(Rev. 1070, Issued: 09-29-06, Effective: 01-01-07, Implementation: 01-02-07)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
5ce9c7622adf1fb627bbf4259f23dbd02a04015922c08fea57195e81592a2f15
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.