US · guidance
CMS Pub. 100-04, ch. 17, § 100.9
Non-Participating Physicians Who Elect the CAP
(Rev. 866, Issued: 02-17-06, Effective: 07-01-06, Implementation: 07-03-06)
Participating CAP physicians must appeal drug administration denials. For a non-participating physician that elects to participate in the CAP, he or she must agree to
accept assignment for all CAP drug administration charges to allow for the Medicare
beneficiary’s and approved CAP vendor’s appeal rights.
A/B MACs (B) shall pay all HCPCS codes that provide payment for the administration of
CAP drugs on an assigned basis.
History
(Rev. 866, Issued: 02-17-06, Effective: 07-01-06, Implementation: 07-03-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
d4b0d84efede7ce102e5f1a15c274860fb3cb26ff675f62c995f0e6d05d5f9c5
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