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Provider Bulletin – QMB Program Reminder 4.2018.pdf

Provider-Bulletin-QMB-Program-Reminder-4.2018.pdf

Preview of Provider Bulletin – QMB Program Reminder 4.2018

🔗 Source: positivehealthcare.net

📊 Size: 144 KB

👤 Author: matthew.hendricks

⬇️ Downloads: 171

Summary

This Provider Bulletin applies to PHP (Medicare), Primary Care Physicians, Specialists, PHC (Medicaid), Ancillary, and Hospitals. It reminds providers that the QMB Program, a Medicaid benefit, pays Medicare premiums and cost sharing for low-income Medicare beneficiaries, and federal law prohibits collecting Medicare Part A and B coinsurance, copayments, and deductibles from QMB enrollees. PHP enrollees have a limited out-of-pocket maximum of $5,000 for in-network medical services. Providers are reminded not to balance bill or add separate charges, and copay and cost share are limited to PHP (Medicare) members only, with specific copayment amounts listed for various services. Providers are also reminded not to discriminate against members based on various factors, including participation in publicly financed health care programs.

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Description

This Provider Bulletin applies to PHP (Medicare), Primary Care Physicians, Specialists, PHC (Medicaid), Ancillary, and Hospitals.

Technical Information

File Format: PDF
File Size: 144 KB
Pages: 1
Language: EN
Author: matthew.hendricks
Total Downloads: 171
Last Updated: 3 weeks ago

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