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2021 Annual Update of Per-Beneficiary Threshold Amounts

This Article comprises Sub-regulatory guidance for updated annual per-beneficiary incurred expenses amounts now called the KX modifier thresholds and related policy for Calendar Year (CY) 2021. MLN Matters (MM) Articles are based on Change Requests (CRs). Special Edition (SE) Articles clarify existing policy. In this case, this Article is based on content within CR12014 that is posted on the CMS website.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 07, 2020

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.