Medicare Program; Change in Provider Agreement Regulations Related to Federal Employee Health Benefits

Resumo

This proposed rule would amend current Medicare regulations to require that payment for inpatient hospital services furnished to retired Federal workers age 65 and older who are enrolled in a Federal Employee Health Benefits (FEHB) plan but who are not entitled to receive hospital benefits under Medicare Part A (Hospital Insurance) may not exceed the hospital payments established for Medicare purposes for inpatient hospital services. The rule would also amend current Medicare regulations to authorize HCFA to consider termination or nonrenewal of a hospital's Medicare provider agreement for knowingly and willfully failing to accept, on a repeated basis, the Medicare rate as payment in full from an FEHB plan. This proposed rule would implement section 7002(f) of the Omnibus Budget Reconciliation Act of 1990, enacted on November 5, 1990.