42 CFR 411.9 - Services furnished outside the United States

Cite as42 CFR 411.9
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8 practice notes
  • United States ex rel. Cieszyski v. Lifewatch Servs., Inc., Case No. 13 CV 4052
    • United States
    • United States District Courts. 7th Circuit. United States District Court (Northern District of Illinois)
    • October 19, 2015
    ...statutes and Physician Self-Referral law ("Stark Law")" (Am. Complt. ¶ 31). As codified in 42 U.S.C. §1395y(a)(4) and 42 C.F.R. 411.9(a), Medicare prohibits reimbursement for services "which are not provided within the United States," including situations in which t......
  • Shagalow v. State, Dept. of Human Services, No. A06-246.
    • United States
    • Court of Appeals of Minnesota
    • December 19, 2006
    ...not apply to the case before us), federal law explicitly prohibits Medicare from paying for services outside of the United States. See 42 C.F.R. § 411.9 (2005). To allow greater flexibility for Medical Assistance than Medicare is illogical. This comparison supports DHS's position that it wi......
  • Part II
    • United States
    • Federal Register August 18, 2006
    • August 18, 2006
    ...furnished in Canada or Mexico. However, in accordance with section 1814(f) of the Act and the definition of the term ``United States'' (42 CFR 411.9(a)), it is permissible for Medicare to pay for services furnished in foreign countries other than Canada and Mexico. For example, if a Medicar......
  • Medicare: Hospital inpatient prospective payment systems; 2007 FY occupational mix adjustment to wage index; implementation,
    • United States
    • Federal Register August 18, 2006
    • August 18, 2006
    ...furnished in Canada or Mexico. However, in accordance with section 1814(f) of the Act and the definition of the term ``United States'' (42 CFR 411.9(a)), it is permissible for Medicare to pay for services furnished in foreign countries other than Canada and Mexico. For example, if a Medicar......
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3 cases
  • United States ex rel. Cieszyski v. Lifewatch Servs., Inc., Case No. 13 CV 4052
    • United States
    • United States District Courts. 7th Circuit. United States District Court (Northern District of Illinois)
    • October 19, 2015
    ...anti-kickback statutes and Physician Self-Referral law ("Stark Law")" (Am. Complt. ¶ 31). As codified in 42 U.S.C. §1395y(a)(4) and 42 C.F.R. 411.9(a), Medicare prohibits reimbursement for services "which are not provided within the United States," including situations in which the patient ......
  • Shagalow v. State, Dept. of Human Services, No. A06-246.
    • United States
    • Court of Appeals of Minnesota
    • December 19, 2006
    ...not apply to the case before us), federal law explicitly prohibits Medicare from paying for services outside of the United States. See 42 C.F.R. § 411.9 (2005). To allow greater flexibility for Medical Assistance than Medicare is illogical. This comparison supports DHS's position that it wi......
  • RICU LLC v. United States Dep't of Health & Human Servs., 21-cv-452 (CRC)
    • United States
    • United States District Courts. United States District Court (Columbia)
    • August 20, 2021
    ...for services “not provided within the United States[.]” Pub. L. No. 89-97 § 1862(a)(4) (codified at 42 U.S.C. § 1395y(a)(4)); see also 42 C.F.R. § 411.9(a) (“Medicare does not pay for services furnished outside the United States.”). Following the parties' lead, the Court will refer to this ......
5 provisions

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