# 42 CFR § 411.8: Services paid for by a Government entity

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/ecfr-42-411.8

## Section

- **Citation:** 42 CFR § 411.8
- **Heading:** Services paid for by a Government entity
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** September 22, 2026
- **Source:** Publisher's official text
- **Location:** Title 42—Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER B—MEDICARE PROGRAM > PART 411—EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT > Subpart A—General Exclusions and Exclusion of Particular Services

## Text

(a) Basic rule. Except as provided in paragraph (b) of this section, Medicare does not pay for services that are paid for directly or indirectly by a government entity.
(b) Exceptions. Payment may be made for the following:
(1) Services furnished under a health insurance plan established for employees of the government entity.
(2) Services furnished under a title of the Social Security Act other than title XVIII.
(3) Services furnished in or by a participating general or special hospital that—
(i) Is operated by a State or local government agency; and
(ii) Serves the general community.
(4) Services furnished in a hospital or elsewhere, as a means of controlling infectious diseases or because the individual is medically indigent.
(5) Services furnished by a participating hospital or SNF of the Indian Health Service.
(6) Services furnished by a public or private health facility that—
(i) Is not a Federal provider or other facility operated by a Federal agency;
(ii) Receives U.S. government funds under a Federal program that provides support to facilities that furnish health care services;
(iii) Customarily seeks payment for services not covered under Medicare from all available sources, including private insurance and patients' cash resources; and
(iv) Limits the amounts it collects or seeks to collect from a Medicare Part B beneficiary and others on the beneficiary's behalf to:
(A) Any unmet deductible applied to the charges related to the reasonable costs that the facility incurs in providing the covered services;
(B) Twenty percent of the remainder of those charges;
(C) The charges for noncovered services.
(7) Rural health clinic services that meet the requirements set forth in part 491 of this chapter.
[54 FR 41734, Oct. 11, 1989, as amended at 56 FR 2139, Jan. 22, 1991]

## Nearby sections

- [42 CFR § 411.1 § 411.1 Basis and scope.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.1.md)
- [42 CFR § 411.2 § 411.2 Conclusive effect of QIO determinations on payment of claims.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.2.md)
- [42 CFR § 411.4 § 411.4 Items and services for which neither the beneficiary nor any other person is legally obligated to pay.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.4.md)
- [42 CFR § 411.6 § 411.6 Services furnished by a Federal provider of services or other Federal agency.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.6.md)
- [42 CFR § 411.7 § 411.7 Services that must be furnished at public expense under a Federal law or Federal Government contract.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.7.md)
- [42 CFR § 411.8 § 411.8 Services paid for by a Government entity.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.8.md)
- [42 CFR § 411.9 § 411.9 Services furnished outside the United States.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.9.md)
- [42 CFR § 411.10 § 411.10 Services required as a result of war.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.10.md)
- [42 CFR § 411.12 § 411.12 Charges imposed by an immediate relative or member of the beneficiary's household.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.12.md)
- [42 CFR § 411.15 § 411.15 Particular services excluded from coverage.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.15.md)
- [42 CFR § 411.20 § 411.20 Basis and scope.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.20.md)
- [42 CFR § 411.21 § 411.21 Definitions.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.21.md)
- [42 CFR § 411.22 § 411.22 Reimbursement obligations of primary payers and entities that received payment from primary payers.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.22.md)
- [42 CFR § 411.23 § 411.23 Beneficiary's cooperation.](https://www.frixlaw.com/law-library/statutes/ecfr-42-411.23.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/ecfr-42-411.8. Check the current official text before relying on it. Not legal advice.