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US · guidance

CMS Pub. 100-16, ch. mc86c17f, § 130.5

Incapacitated Enrollees

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

(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)

If an enrollee is incapacitated at the time of initial enrollment and is unable to receive

information due to an incapacitating condition, the Medicare cost plan may give advance

directive information to the enrollee’s family or surrogate.

The Medicare cost plan is not relieved of its obligation to provide this information to the

enrollee once he or she is no longer incapacitated or unable to receive such information.

Follow-up procedures must be in place to ensure that the information is given to the

individual directly at the appropriate time.

History

(Rev. 77, Issued: 10-28-05, Effective Date: 10-28-05)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
3fdbd33d778901c0c16752658aeb3b8e682b656b838e3ec78b656099143f4e27
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