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Code of Federal Regulations Title 42. Public Health § 42.417.533 Part B carrier responsibilities

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

In paying for Part B services furnished to its enrollees by suppliers, the HMO or CMP must—

(a) Determine the eligibility of individuals to receive those services through the HMO or CMP;

(b) Make proper coverage decisions and appropriate payment as authorized under § 421.200 of this chapter for the services for which its Medicare enrollees are eligible;  and

(c) Carry out any other procedures that CMS may require.

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Cite this article: FindLaw.com - Code of Federal Regulations Title 42. Public Health § 42.417.533 Part B carrier responsibilities - last updated January 02, 2025 | https://codes.findlaw.com/cfr/title-42-public-health/cfr-sect-42-417-533/

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