SNF Payment Bans, or Denial of Payment for New Admissions

50 - SNF Payment Bans, or Denial of Payment for New Admissions (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.