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Code of Federal Regulations Title 42. Public Health § 42.411.45 Basis for conditional Medicare payment in workers' compensation cases

Current as of January 02, 2025 | Updated by Findlaw Staff

(a) A conditional Medicare payment may be made under either of the following circumstances:

(1) The beneficiary has filed a proper claim for workers' compensation benefits, but the intermediary or carrier determines that the workers' compensation carrier will not pay promptly. This includes cases in which a workers' compensation carrier has denied a claim.

(2) The beneficiary, because of physical or mental incapacity, failed to file a proper claim.

(b) Any conditional payment that CMS makes is conditioned on reimbursement to CMS in accordance with subpart B of this part.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.411.45 Basis for conditional Medicare payment in workers' compensation cases - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-411-45/

FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.

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