Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3
Payment for Grandfathered Items Furnished During the Initial
40.3 - Payment for Grandfathered Items Furnished During the Initial
Competitive Bidding Contract Period/Program
(Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08)
Payment for a grandfathered item(s) furnished during the initial competitive bidding contract
period (i.e., when the item is bid for the first time in a CBA) varies depending on the payment
category to which the item(s) belongs (See section 40.3.1 of this chapter). In all cases,
assignment of claims is mandatory, and suppliers must accept the Medicare allowed payment
amount as payment in full.