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MM13264 – Billing Requirements for Intensive Outpatient Program Services for Federally Qualified Health Centers and Rural Health Clinics

This new Article comprises Subregulatory Guidance on IOP scope of benefits, certification and plan of care requirements, payment policies, and coding and billing requirements. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13264 that is posted on the CMS website at https://www.cms.gov/files/document/r12460otn.pdf.

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

Issue Date: January 16, 2024

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.