# 32 C.F.R. § 220.6 (2026): Certain payers excluded

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_6

## Section

- **Citation:** 32 C.F.R. § 220.6 (2026)
- **Heading:** Certain payers excluded
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Title 32 CFR: National Defense / Chapter I: OFFICE OF THE SECRETARY OF DEFENSE / Part 220: MEDICAL BILLING FOR HEALTHCARE SERVICES PROVIDED BY DEPARTMENT OF DEFENSE MILITARY MEDICAL TREATMENT FACILITIES TO CIVILIAN NON-BENEFICIARIES / § 220.6: § 220.6   Certain payers excluded.

## Text

(a)
Medicare and Medicaid.
Under 10 U.S.C. 1095(d), claims for payment from the Medicare or Medicaid programs (titles XVIII and XIX of the Social Security Act) are not authorized.
(b)
Supplemental plans.
CHAMPUS (see 32 CFR part 199) supplemental plans and income supplemental plans are excluded from any obligation to pay under 10 U.S.C. 1095.
(c)
Third party payer plans prior to April 7, 1986.
10 U.S.C. 1095 is not applicable to third party payer plans which have been in continuous effect without amendment or renewal since prior to April 7, 1986. Plans entered into, amended or renewed on or after April 7, 1986, are subject to 10 U.S.C. 1095.
(d)
Third party payer plans prior to November 5, 1990, in connection with outpatient care.
The provisions of 10 U.S.C. 1095 and this section concerning outpatient services are not applicable to third party payer plans:
(1) That have been in continuous effect without amendment or renewal since prior to November 5, 1990; and
(2) For which the facility of the Uniformed Services or other authorized representative for the United States makes a determination, based on documentation provided by the third party payer, that the policy or plan clearly excludes payment for such services. Plans entered into, amended or renewed on or after November 5, 1990, are subject to this section, as are prior plans that do not clearly exclude payment for services covered by this section.
[55 FR 21748, May 29, 1990, as amended at 57 FR 41101, Sept. 9, 1992]

## Nearby sections

- [32 C.F.R. § 220.1 (2026) § 220.1   Purpose and applicability.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_1.md)
- [32 C.F.R. § 220.2 (2026) § 220.2   Statutory obligation of third party payer to pay.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_2.md)
- [32 C.F.R. § 220.3 (2026) § 220.3   Exclusions impermissible.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_3.md)
- [32 C.F.R. § 220.4 (2026) § 220.4   Reasonable terms and conditions of health plan permissible.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_4.md)
- [32 C.F.R. § 220.5 (2026) § 220.5   Records available.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_5.md)
- [32 C.F.R. § 220.6 (2026) § 220.6   Certain payers excluded.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_6.md)
- [32 C.F.R. § 220.7 (2026) § 220.7   Remedies and procedures.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_7.md)
- [32 C.F.R. § 220.8 (2026) § 220.8   Reasonable charges.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_8.md)
- [32 C.F.R. § 220.9 (2026) § 220.9   Rights and obligations of beneficiaries.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_9.md)
- [32 C.F.R. § 220.10 (2026) § 220.10   Special rules for Medicare supplemental plans.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_10.md)
- [32 C.F.R. § 220.11 (2026) § 220.11   Special rules for automobile liability insurance and no-fault automobile insurance.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_11.md)
- [32 C.F.R. § 220.12 (2026) § 220.12   Medical billing for healthcare services provided by DoD Military Medical Treatment Facilities to civilian non-beneficiaries.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_12.md)
- [32 C.F.R. § 220.13 (2026) § 220.13   Special rules for workers' compensation programs.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_13.md)
- [32 C.F.R. § 220.14 (2026) § 220.14   Definitions.](https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/CFR_T32_P220_S220_6. Check the current official text before relying on it. Not legal advice.
