{"data":{"id":"us/42-cfr-424.109","jurisdiction":"us","citation":"42 CFR 424.109","heading":"Payment to the beneficiary.","body":"Medicare pays the beneficiary for emergency services if the following conditions are met:\n(a) The hospital does not have in effect an election to claim payment.\n(b) The beneficiary, or someone on his or her behalf, submits—\n(1) A claim that meets the requirements of § 424.32;\n(2) An itemized hospital bill; and\n(3) Evidence requested by CMS to establish that the services meet the requirements of this subpart.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 424—CONDITIONS FOR MEDICARE PAYMENT","Subpart G—Special Conditions: Emergency Services Furnished by a Nonparticipating Hospital"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"66ed9366d99a8ed82b505c07958cf02ba260a008e8d7ccbaa618ea2f12a0e68d","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-424.108","next":"us/42-cfr-424.120"},"notice":"GroundRules: Original legal text. Not legal advice."}