US · guidance
CMS Pub. 100-11, ch. 11, § 20.5
Medicare-Only
Medicare does not have an external appeals process that permits challenges of enrollment
denials or disenrollment determinations for Medicare-only beneficiaries within PACE. A
Medicare-only eligible participant will need to use the appeals process that States are
required to provide for enrollment/disenrollment decisions.
More information on the Medicare IRE process is available online
at http://www.medicareappeal.com.
[71 FR 71303, 71312, and 71317 (Dec. 8, 2006)]
History
(Rev. 2, Issued: 06-09-11; Effective: 06-03-11; Implementation: 06-03-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
b3c31db4d73b17a9af3e835d3267b6ce7625a0e583bcfd79e8c905df4e8cc9fa
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