StacksVerified U.S. regulatory reference

42 CFR §424.109

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
Medicare pays the beneficiary for emergency services if the following conditions are met:
  1. (a)The hospital does not have in effect an election to claim payment.
  2. (b)The beneficiary, or someone on his or her behalf, submits—
    1. (1)A claim that meets the requirements of § 424.32;
    2. (2)An itemized hospital bill; and
    3. (3)Evidence requested by CMS to establish that the services meet the requirements of this subpart.