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US · guidance

CMS Pub. 100-04, ch. 6, § 50

SNF Payment Bans, or Denial of Payment for New Admissions

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

(DPNA)

(Rev. 1555; Issued: 07-18-08; Effective Date: 01-01-09; Implementation Date: 01- 05-09)

Under the Act at §§1819(h) and 1919(h) and CMS’ regulations at 42 CFR 488.417, CMS

may impose a denial of payment for new admissions (DPNA) against a SNF when a

facility is not in substantial compliance with requirements of participation. To understand

the effect on coverage of SNF services, see the Medicare Benefit Policy Manual, Chapter

8, “Coverage of Extended Care (SNF) Services Under Hospital Insurance,” §§20.3 -

20.3.1.6.

History

(Rev. 1555; Issued: 07-18-08; Effective Date: 01-01-09; Implementation Date: 01- 05-09)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
172b9786c18e3fdd244771f4c7007fd29f5f7fadc9a2b84d868b688fb0458ef5
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