applicable beneficiary

(1) Applicable beneficiary defined In this section, the term “applicable beneficiary” means an individual who— (A) is entitled to, or enrolled for, benefits under part A and enrolled for benefits under part B; (B) is not enrolled in a Medicare Advantage plan under part C; (C) has a current diagnosis for an opioid use disorder; and (D) meets such other criteria as the Secretary determines appropriate. Such term shall include an individual who is dually eligible for benefits under this subchapter and subchapter XIX if such individual satisfies the criteria described in subparagraphs (A) through (D).


42 USC § 1395cc-6(d)(1)

Scoping language

In this section
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