US · guidance
CMS SOM App. B, Tag G442
§484.50(c) Standard: Rights of the patient
The patient has the right to—
(8) Receive proper written notice, in advance of a specific service being furnished, if
the HHA believes that the service may be non-covered care; or in advance of the
HHA reducing or terminating on-going care. The HHA must also comply with the
requirements of 42 CFR 405.1200 through 405.1204.
Interpretive Guidelines §484.50(c)(8)
§405.1200 through §405.1204 describe the expedited determination process, which is a
right that Medicare beneficiaries may exercise to dispute the termination of Medicare-covered services in certain settings including home health.
Survey Procedures §484.50(c)(8)
Surveyors are not to advise the patient about finances, or coverage, or payment issues,
but rather confirm if the HHA provided this information.
History
Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
b9d02d9b21906aa13457479b6311fc11718643500fecb28f63fb74bad67b577d
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