Wednesday, March 23, 2016

CMS Updates Dual Eligible Beneficiaries Fact Sheet and MLN Matters Article

Dan Ciolek


Recently the Centers for Medicare and Medicaid Services (CMS) revised the Dual Eligible Beneficiaries under the Medicare and Medicaid Programs Fact Sheet. This fact sheet includes information regarding:

• Overview of the Medicare and Medicaid Programs and dual eligible beneficiaries

• Prohibited billing of qualified Medicare beneficiary individuals

• Medicare assignment

A companion revised Special Edition MLN Matters Article on Prohibition on Balance Billing Dually Eligible Individuals Enrolled in the QMB Program is also available. This document includes important clarifications concerning Qualified Medicare Beneficiary (QMB) balance billing rules and ways to improve processes related to QMB individuals.


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