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State Recoupment of Payments for Services To Dual Eligibles

Guidance for : The purpose of this letter is to: (1) clarify CMS policy with respect to state recoupment of Medicaid payments a state has made to a provider for services rendered to a Medicare/Medicaid dual-eligible beneficiary; and (2) remind states of a provider�s obligation to submit timely a demand bill. Because the guidance on recoupment of Medicaid payments contained in the December 3, 1999, State Medicaid Director (SMD) letter is being clarified herein, that letter is hereby rescinded.

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

Issue Date: April 08, 2003

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