Minn. R. agency 196, ch. 9505, MEDICAL ASSISTANCE PAYMENTS, pt. 9505.0440 - MEDICARE BILLING REQUIRED
A provider shall comply with the Medicare billing requirements in items A and B.
A. A
provider who is authorized to participate in Medicare shall bill Medicare
before billing medical assistance for services covered by Medicare unless the
provider has reason to believe that a service covered by Medicare will not be
eligible for payment. A provider shall not be required to take an action that
may jeopardize the limitation on liability under Medicare as specified in Code
of Federal Regulations, title 42, section 405.195. However, the provider must
document that, because of recent claim experiences with Medicare or because of
written communication from Medicare, coverage is not available.
B. A provider specified in item A shall
accept Medicare assignment if the medical assistance payment rate for the
service to the recipient is at the same rate or less than the Medicare
payment.
Notes
Statutory Authority: MS s 256B.04
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.