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Medicare Care Choices Model - Per Beneficiary per Month Payment (PBPM) - Implementation (eligibility updates and clarification)

Guidance for instructions to the Medicare Administrative Contractor (MAC) related to changes to the eligibility criteria for enrollment to MCCM and education requirements to assist the participating hospices in submission of the Notice of Election (NOE) and claims for per beneficiary per month (PBPM) fee, and to clarify certain existing business rules.

Download the Guidance Document

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

Issue Date: May 19, 2017

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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.