Exceptions to Denial of Medicare Payment (Exclusion) –

9055.2 – Exceptions to Denial of Medicare Payment (Exclusion) – Regulatory Requirements (Rev. 24, Issued: 02-12-16, Effective: 03-14-16, Implementation: 03-14-16) Unless the HHS Secretary determines that the health and safety of beneficiaries warrants the exclusion taking effect earlier, payment may be made for services or items provided up to thirty (30) days after the effective date of exclusion for: • Inpatient hospital or skilled nursing services or items furnished to a beneficiary who was admitted before the effective date of the exclusion; • Home health services and hospice care items furnished under a plan established before the effective date of the exclusion; or • Any health care items that a practitioner, provider, or supplier orders from an excluded manufacturer before the effective date of the exclusion and delivered within thirty (30) days of the effective date of such exclusion.