Medicare Coverage of Items and Services Furnished to Beneficiaries in Custody Under a Penal Authority ICN 908084
When “you” is used in this publication, we are referring to Medicare providers and suppliers.
Medicare will generally not pay for medical items and services furnished to a beneficiary who was incarcerated or in custody under a penal statute or rule at the time the items and services are furnished. This publication provides the following information about this Medicare policy:
Policy background, including the definition of individuals who are in custody (or incarcerated) under a penal statute or rule;
Determining whether a beneficiary is in custody under a penal statute or rule;
Medicare claims processing for items and services for incarcerated beneficiaries;
Exception to Medicare policy; Informational Unsolicited Response (IUR); and Resources. Read More