Medicare Cost Organization Rights

130.7 - Medicare Cost Organization Rights (Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05) The Medicare cost plan is not required to provide care that conflicts with an advance directive. The Medicare cost plan is not required to implement an advance directive if, as a matter of conscience, the Medicare cost plan cannot implement an advance directive and state law allows any health care provider or any agent of the provider to conscientiously object.