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Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies

We are revising sections 70.7, 70.7.2, and 70.7.3, in chapter 1 of Pub. 100-04, to specify that if a provider, supplier, or beneficiary is unable to provide the contractor with an official SSA letter, the contractor shall check the Common Working File (CWF) database in order to verify a beneficiary’s retroactive Medicare entitlement date.

Download the Guidance Document

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

Issue Date: May 25, 2012

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.