Sanctions Lifted: Procedures for Beneficiaries Admitted During

50.3 - Sanctions Lifted: Procedures for Beneficiaries Admitted During the Sanction Period (Rev. 1, 10-01-03) PM AB-01-131 For new admissions to certified beds, Medicare payments for eligible beneficiaries should begin on the date the sanction is lifted. The beneficiary must meet technical eligibility requirements (e.g., a 3-day hospital stay, etc.), services must be reasonable and necessary and the beneficiary must be receiving skilled care. The date the sanction is lifted is considered the first day of the Part A stay. For Part A PPS payment purposes, the period between the actual date of admission and the last day the sanction was in effect should be billed as noncovered days. (See §50.3.1 below on procedures to track these noncovered days for benefit period and break in spell of illness calculations. RAI requirements are discussed in §30.5.)