Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 5 § 50.4

Notice of Noncoverage of Services

Last amended: 2002Year: 2002Length: 118 wordsOfficial source
50.4 - Notice of Noncoverage of Services (Rev. 1, 09-11-02) If an HHA notifies a beneficiary of noncoverage of services that another party has been furnishing under arrangements entered into by the agency, the initial notice, in and of itself, does not negate the contract between the agency and the other party. Unless the evidence shows that the contract has been formally terminated, the beneficiary is still considered to be the agency's patient and the other party to be the representative of the agency. Consequently, if upon initial notice that a service is no longer covered the other party continues to provide services to the patient, the other party is considered to be furnishing the services under arrangement.
Medicare General Information, Eligibility and Entitlement Manual (Pub. 100-01), Ch. 5 § 50.4: Notice of Noncoverage of Services | Justis AI