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MA Payment Guide for Out of Network Payments 4/15/2015 Update

Guidance for Medicare Advantage and other Part C organizations. This document provides guidance to these organizations when in situations where they are required to pay at least the original Medicare rate to out of network providers.

Download the Guidance Document

Final

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

Issue Date: April 15, 2015

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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.