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CMS Pub. 100-04, ch. 1, § 10.1.9.6

Medicare Carrier or RRB-Named Carrier to Welfare Carrier

activein force · 2026-08-25 – presentas-observed

When a Medicare carrier or RRB-named carrier receives a query reply from CMS that

includes a disposition code 46 and a welfare administration carrier number, it transfers

the claim to the welfare carrier and notifies the beneficiary. Any pertinent information

received or developed is transferred with the claim.

This occurs only if there is a State welfare carrier and the individual is identified in the

beneficiary master record as a State buy-in enrollee for that State. For more information

on the definition of a welfare carrier, refer to Pub. 100-04, Chapter 1, section 10.1.7.

History

(Rev. 2474, Issued: 05-18-12, Effective: 07-20-12, Implementation;-7-20-12)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
4356f6f50368c944ad19c038b5c2dd583c3809067b045b87b641ba0a012e0e97
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