Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 40.3.1.2
Items Requiring Frequent and Substantial Servicing
40.3.1.2 - Items Requiring Frequent and Substantial Servicing
(Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08)
When items requiring frequent and substantial servicing are furnished by a grandfathered
supplier, payment is based on the single payment amount established in accordance with 42 CFR
§414.408(a)(1) for the CBA in which the beneficiary maintains a permanent residence.