# 42 C.F.R. § 489.22 (2026): Special provisions applicable to prepayment requirements

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_22

## Section

- **Citation:** 42 C.F.R. § 489.22 (2026)
- **Heading:** Special provisions applicable to prepayment requirements
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Title 42 CFR: Public Health / Chapter IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES / Part 489: PROVIDER AGREEMENTS AND SUPPLIER APPROVAL / Subpart B: Essentials of Provider Agreements / § 489.22: § 489.22   Special provisions applicable to prepayment requirements.

## Text

(a) A provider may not require an individual entitled to hospital insurance benefits to prepay in part or in whole for inpatient services as a condition of admittance as an inpatient, except where it is clear upon admission that payment under Medicare, Part A cannot be made.
(b) A provider may not deny covered inpatient services to an individual entitled to have payment made for those services on the ground of inability or failure to pay a requested amount at or before admission.
(c) A provider may not evict, or threaten to evict, an individual for inability to pay a deductible or a coinsurance amount required under Medicare.
(d) A provider may not charge an individual for (1) its agreement to admit or readmit the individual on some specified future date for covered inpatient services; or (2) for failure to remain an inpatient for any agreed-upon length of time or for failure to give advance notice of departure from the provider's facilities.
[45 FR 22937, Apr. 4, 1980, as amended at 68 FR 46072, Aug. 4, 2003]

## Nearby sections

- [42 C.F.R. § 489.20 (2026) § 489.20   Basic commitments.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_20.md)
- [42 C.F.R. § 489.21 (2026) § 489.21   Specific limitations on charges.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_21.md)
- [42 C.F.R. § 489.22 (2026) § 489.22   Special provisions applicable to prepayment requirements.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_22.md)
- [42 C.F.R. § 489.23 (2026) § 489.23   Specific limitation on charges for services provided to certain enrollees of fee-for-service FEHB plans.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_23.md)
- [42 C.F.R. § 489.24 (2026) § 489.24   Special responsibilities of Medicare hospitals in emergency cases.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_24.md)
- [42 C.F.R. § 489.25 (2026) § 489.25   Special requirements concerning CHAMPUS and CHAMPVA programs.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_25.md)
- [42 C.F.R. § 489.26 (2026) § 489.26   Special requirements concerning veterans.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_26.md)
- [42 C.F.R. § 489.27 (2026) § 489.27   Beneficiary notice of discharge or change in status rights.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_27.md)
- [42 C.F.R. § 489.28 (2026) § 489.28   Special capitalization requirements for HHAs.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_28.md)
- [42 C.F.R. § 489.29 (2026) § 489.29   Special requirements concerning beneficiaries served by the Indian Health Service, Tribal health programs, and urban Indian organization health programs.](https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_29.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/CFR_T42_P489_S489_22. Check the current official text before relying on it. Not legal advice.