42 CFR 424.109 - Payment to the beneficiary.

Regulations last checked for updates: Oct 17, 2024

Title 42 - Public Health last revised: Oct 15, 2024

§ 424.109 - Payment to the beneficiary.

Medicare pays the beneficiary for emergency services if the following conditions are met:

(a) The hospital does not have in effect an election to claim payment.

(b) The beneficiary, or someone on his or her behalf, submits—

(1) A claim that meets the requirements of § 424.32;

(2) An itemized hospital bill; and

(3) Evidence requested by CMS to establish that the services meet the requirements of this subpart.

authority: 42 U.S.C. 1302 and 1395hh

source: 53 FR 6634, Mar. 2, 1988, unless otherwise noted.

cite as: 42 CFR 424.109