US · guidance
CMS Pub. 100-01, ch. 5, § 50.4
Notice of Noncoverage of Services
If an HHA notifies a beneficiary of noncoverage of services that another party has been
furnishing under arrangements entered into by the agency, the initial notice, in and of
itself, does not negate the contract between the agency and the other party. Unless the
evidence shows that the contract has been formally terminated, the beneficiary is still
considered to be the agency's patient and the other party to be the representative of the
agency. Consequently, if upon initial notice that a service is no longer covered the other
party continues to provide services to the patient, the other party is considered to be
furnishing the services under arrangement.
History
(Rev. 1, 09-11-02)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
c9ac5bb83ecc4f431eb7566dac63d8d84c9b34534d2f824e2e40e4638f807f9d
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