Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 90.1

Charges and Waivers

Last amended: 2016Year: 2016Length: 83 wordsOfficial source
90.1 - Charges and Waivers (Rev. 220, Issued: 01-15-16, Effective: 02-01-16, Implementation: 02-01-16) Charges for services furnished to Medicare beneficiaries must be the same as the charges for non-Medicare beneficiaries. FQHCs may waive collection of all or part of the copayment, depending on the beneficiary’s ability to pay. RHCs may waive the copayment and deductible after a good faith determination has been made that the patient is in financial need, provided the waivers are not routine and not advertised. (See 42 U.S.C. 1320a-7a(6)(A))
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 90.1: Charges and Waivers | Justis AI