State Operations Manual (Pub. 100-07), Ch. 3 § 3008.1
Services After Termination of a Medicare Provider Agreement
3008.1 - Services After Termination of a Medicare Provider Agreement
(Rev. 1, 05-21-04)
Effective the date the provider agreement is terminated, no payment will be made under
the agreement. (See 42 CFR 489.55.) However, payment is available for up to 30
calendar days after the effective date of termination for beneficiaries admitted before the
effective date of termination for:
• Inpatient hospital services;
• Psychiatric hospital services; and
• SNF services.
Also, payment is available for up to 30 calendar days for care furnished under a plan
established before the effective date of termination for:
• Home Health Agency (HHA) services; and
• Hospice care.