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A Cost Contract provides the full Medicare benefit package. Payment is based on the reasonable cost of providing services. Beneficiaries are not restricted to the HMO or CMP to receive covered Medicare services, i.e. services may be received through non-HMO/CMP sources and are reimbursed by Medicare intermediaries and carriers. Organizations that have current Medicare Advantage Cost Contracts with CMS can download operational policy information and updates below. Organizations that would like to apply for a Medicare Advantage Cost Contract must download and complete the application below. The Application Form file provides instructions on how to use each file. Files can be viewed and downloaded in .zip format. | ID Number | Issue | Status | Issued | Subject | | 03-001 | Notice requirements for hospitals/SNF denials | Pending | 03/25/03 | Appeals | | 03-013 | Medicare Appeal Rules | Pending | 06/27/03 | Appeals | | 03-015 | Tracking Out-of-Pocket Maximum | Pending | 01/13/04 | Appeals |
Page Last Modified: 02/17/2009 10:41:26 AM
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