Comparability of Payment Provision of Delegation of Authority by

20.7 - Comparability of Payment Provision of Delegation of Authority by CMS to Railroad Retirement Board (Rev. 1, 10-01-03) B3-15064 The delegation of authority, under which the Railroad Retirement Board (RRB) administers the Supplementary Medical Insurance Benefits Program for qualified railroad retirement beneficiaries, requires that: The Railroad Retirement Board shall take such action as may be necessary to assure that payments made for services by the A/B MACs (A) it selects will conform as closely as possible to the payment made for comparable services in the same locality by an A/B MAC (A) acting for CMS. The purpose of this comparability of payment is to reduce to the extent possible disparities between the payments made by the A/B MAC (B) under the RRB delegation and the payments made by the regular A/B MACs (B) for services or items furnished by the same physicians, including provider-based physicians, or suppliers. For all services paid for under the physician fee schedule, A/B MACs (B) under the RRB delegation pay based on the same fee schedule amount used by the A/B MAC (B).