Medicare Claims Processing Manual (Pub. 100-04), Ch. 11 § 60.1
Instructions for the Contractual Arrangement
60.1 - Instructions for the Contractual Arrangement
(Rev. 1, 10-01-03)
A-02-102
A contractual agreement between both parties must be on file and available for review by
the state survey agency responsible for conducting surveys on behalf of CMS to assess
compliance with the relevant conditions of participation for the provider contracting for
the hospice services. Where a PACE organization contracts with a hospice organization,
the contract, which is reviewed by CMS, must meet the requirements specified in 42 CFR
460.70. Go to http://www.gpo.gov/fdsys/browse/collectionCfr.action; select the
applicable year, choose title42, and select Chapter IV - Centers for Medicare & Medicaid
Services and then locate 460.70. The agreement must specify each of the services to be
provided, the credentials required for any of the professionals providing the services, the
billing method and payment amounts, and any required documentation.