HI 00620.040 Items and Services Furnished by a Federal Provider of Services or Federal Agency
Generally, Federal providers are excluded from participation in the Medicare program. (However, Federal hospitals, as other nonparticipating hospitals, may be paid for emergency inpatient and outpatient hospital services.) The law provides exceptions to this exclusion which permit the following categories of Federal providers to participate in Medicare:
A federal provider determined to be providing services to the public generally as a community institution or agency.
VA hospitals which have sharing agreements with non-VA participating hospitals under which the VA hospitals furnish end-stage renal disease services to non-veterans may be considered community hospitals with respect to any otherwise covered services rendered ESRD beneficiaries.
The exception does not apply to Federal clinics or other health facilities which are not “providers of services” as defined in the Medicare law, i.e., which are not hospitals, skilled nursing facilities (SNFs), home health agencies (HHAs), or comprehensive outpatient rehabilitation facilities (CORFs).
Hospitals and skilled nursing facilities of the Indian Health Services.