Processing Services During Disenrollment from the Program of All-Inclusive Care for the Elderly – Revised

Related CR Release Date: September 6, 2023
Effective Date: January 1, 2024
Implementation Date: January 2, 2024
MLN Matters Number: MM13248 Revised
Related Change Request (CR) Number: CR 13248
Related CR Transmittal Number: R12239CP

Note: CMS removed type of bill (TOB) code 41X from the list of TOB codes on page 2.

CR 13248 tells you about:

  • How CMS handles payment for Medicare patients disenrolling from PACE
  • Condition codes and value code (VC) we require to prevent claims denials

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13248.

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