US · guidance
CMS Pub. 100-02, ch. 15, § 320.9
Medical Review
All payments under this benefit may be subject to a medical review adjustment reflecting
the following:
1. Beneficiary eligibility.
2. Plan of care requirements.
3. Medical necessity determinations.
History
(Rev. 10547, Issued: 12-31-20, Effective: 01-01-21, Implementation: 01-04-21)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
de466ef0a2c7a394a16564ecb873749fbffd9471bc98ec6ae8070e72a49a56f0
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