US · guidance
CMS Pub. 100-04, ch. 17, § 100.2
Claims Processing Instructions for CAP Claims for the A/B
MACs (B)
(Rev. 1412, Issued: 01-11-08, Effective: 01-01-08, Implementation: 04-07-08)
The A/B MAC (B) shall not process CAP claims submitted for United Mine Worker or
Medicare Advantage or Railroad Board beneficiaries. A/B MACs (B) shall follow
normal procedures for the disposition of these claims.
A/B MACs (B) shall pay for the administration of the drugs for which physicians have
elected to receive under CAP. CAP claims are required to comply with Medicare rules
and requirements for modifiers and other supporting information unless specific
exceptions are made. The A/B MACs (B) shall process CAP claims from physicians per
the following instructions.
History
(Rev. 1412, Issued: 01-11-08, Effective: 01-01-08, Implementation: 04-07-08)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
856c6d0c0df16e7bba82696b472872b1bc20aba50fff68872364b1e1243aef0c
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.