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Final CY 2015Medicare-Medicaid Plan Integrated Explanation of Benefits Models

Guidance for the final CY 2015Medicare-Medicaid Plan templates of: (1) an integrated Explanation of Benefits (EOB) for provision of claim-specific information for all covered services received under MMPs–including Medicare Parts A, B, and D, Medicaid, demonstration-specific, and plan-offered supplemental benefits; and (2) a drug-only EOB for Part D and Medicaid drug claims.

Download the Guidance Document

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

Issue Date: July 25, 2014

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.