Medicare Managed Care Manual (Pub. 100-16), Ch. 4 § 40.3.1
Special Rules for Manual Reimbursement
40.3.1 – Special Rules for Manual Reimbursement
(Rev. 121, Issued: 04-22-16, Effective: 04-22-16, Implementation: 04-22-16)
Every MA plan, independent of the payment method it chooses, must also allow – under
circumstances which it describes (for example, when the debit card network is not
operating correctly) – for manual reimbursement for the purchase of OTC items based on
submitted receipts. The MA plan must indicate the forms and process (as well as the
circumstances) by which manual reimbursement is allowed.