Payment for Services Rendered On or After April 1, 1994, by

40.2 - Payment for Services Rendered On or After April 1, 1994, by Noncontracted, Nonparticipating Physicians (Rev. 30, 09-05-03) If a noncontracted physician provides a service to one of the HCPP's enrollees and the physician is not a Medicare participating physician, the limit of the HCPP's liability is the lower of the actual charge or the limiting charge permitted under the statute for FFS Medicare. The HCPP is responsible for beneficiary coinsurance and deductible payments.