# Medicare Program; Changes in Provider Agreement Regulations Related to Federal Employees Health Benefits
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 1997-10-29 · Effective 1997-11-28 · 62 FR 56106
## Document
- **Document number:** 97-28594
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 62 FR 56106
- **CFR reference:** 42 CFR 489
- **Publication date:** 1997-10-29
- **Effective date:** 1997-11-28
- **HHS docket:** BPD-748-F
## Abstract

This final rule makes two changes to Medicare's provider agreement regulations concerning payment for inpatient hospital services furnished to retired enrollees of fee-for-service Federal Employees Health Benefits (FEHB) plans who do not have Medicare Part A coverage. The first change specifies that payment for inpatient hospital services furnished to retired Federal workers age 65 or older who are enrolled in a fee-for-service FEHB plan but are not covered under Medicare Part A is limited to a payment amount that approximates the Medicare diagnosis-related group payment rates established under Medicare's inpatient hospital prospective payment system. The second change specifies that HCFA will consider termination or nonrenewal of a hospital's provider agreement with Medicare if a hospital knowingly and willfully fails to accept, on a repeated basis, the Medicare rate as payment in full for inpatient hospital services provided to a retired Federal worker who is enrolled in a fee-for- service FEHB plan and who does not have Medicare Part A coverage. This final rule implements section 7002(f) of the Omnibus Budget Reconciliation Act of 1990.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/1997/10/29/97-28594/medicare-program-changes-in-provider-agreement-regulations-related-to-federal-employees-health)
---
*AI Analytics · CC0 1.0*