Medicare Benefit Policy Manual (Pub. 100-02), Ch. 16 § 50.1.5
Services Authorized by Indian Health Service
50.1.5 - Services Authorized by Indian Health Service
(Rev. 1, 10-01-03)
A3-3153.1.B, HO-260.3A.2 B.3-2309.3
The Division of Indian Health of the United States Public Health Service authorizes
private physicians and privately owned hospitals and nursing homes to provide treatment
to Indians and their dependents under contractual arrangements with the Division of
Indian Health. In the case of such contract health services to Indians and their
dependents entitled under the Indian Health Service (IHS) program and Medicare,
Medicare is the primary payer and the IHS the secondary payer.