MLN Matters Article (New) MM13248: Processing Services During Disenrollment from the Program of All-Inclusive Care for the Elderly
This revised Article comprises Subregulatory Guidance for how CMS handles payment for Medicare patients disenrolling from PACE and condition codes and value code (VC) we require to prevent claims denials. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13248 that is posted on the CMS website at https://edit.cms.gov/files/document/r12239cp.pdf.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 11, 2023
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.