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Payment for Medicare Part B Services Furnished by Certain Indian Health Service (IHS) Hospitals and Clinics

This transmittal manualizes a change that has been implemented. Information in Pub.100-02, chapter 15, section 30.6 requires revision concerning Medicare reimbursement to Indian Health Services Facilities (IHS) for all items and services for which payment may be made under Part B, subject to certain limitations, as specified in section 1880(e)(1)(A) of the Act, for a 5-year period beginning January 1, 2005. Section 30.6 is being revised to reflect section 630 of the MMA of 2003 which provides for Part B payment to IHS facilities. Information in chapter 15, section 30.6 that does not reflect the MMA update is being removed and a new section 30.6.1 is being added to reflect the MMA update to
allow for Part B payment to IHS facilities, providers and suppliers, with certain limitations, as specified in the Act. Information concerning reimbursement for Medicare Part B services, furnished by IHS facilities, can be found in Pub.100-04, Medicare Claims Processing manual, chapter 19.

Download the Guidance Document

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

Issue Date: April 18, 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.