42 C.F.R. § 424.123 Conditions for payment for nonemergency inpatient services furnished by a hospital closer to the individual's residence.
Title 42 - Public Health
Link to an amendment published at 71 FR 48143, Aug. 18, 2006. Medicare Part A pays for inpatient hospital services furnished by a foreign hospital if the following conditions are met: (a) The beneficiary is a resident of the United States. (b) The foreign hospital is closer or more accessible to the beneficiary's residence than the nearest United States hospital equipped to deal with, and available to treat, the individual's illness or injury. (c) The foreign hospital is— (1) A hospital as defined in §424.101 and, it is licensed, or approved as meeting the conditions for licensing, by the appropriate agency of the country in which it is located; and (2) Accredited by the Joint Commission on Accreditation of Hospitals (JCAH) or accredited or approved by a program of the country where it is located under standards that CMS finds to be essentially equivalent to those of the JCAH. (d) The services are covered services that Medicare would pay for if they were furnished by a participating hospital.
Title 42: Public Health
PART 424—CONDITIONS FOR MEDICARE PAYMENT
Subpart H—Special Conditions: Services Furnished in a Foreign Country
§ 424.123 Conditions for payment for nonemergency inpatient services furnished by a hospital closer to the individual's residence.
