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A411 Duty to Accept Transfers 489. 24 f a Medicare-certified Indian hospital whether Federally or tribally operated becomes Hospital B in an EMTALA-covered transfer request and even if Hospital A is a non-Indian facility and the patient is not an IHS beneficiary then the Indian hospital may not refuse to accept the patient in transfer if it can provide the bed and services that the patient needs and that the requesting Hospital A cannot.

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