Medicare Cost-Sharing for Medicaid Beneficiaries
Guidance for Medicare Advantage Plans informing them of information provided to states about balance billing by providers for certain Medicare and Medicaid dually eligible beneficiaries. The information provided addresses: questions about cost-sharing for dual eligibles enrolled in MA plans; additional questions about beneficiary cost-sharing obligations and methods to meet Medicaid obligations; and the option to use per capita payment to compensate MA plans for the Medicaid obligation for QMB cost sharing.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 17, 2008
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.