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US · guidance

CMS Pub. 100-16, ch. mc86c18b, § 40.1

Payment for Services Rendered On or After April 1, 1994, by

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

Noncontracted Medicare Participating Physicians

(Rev. 30, 09-05-03)

The limit of the HCPP's liability for services rendered by a physician with whom it does

not contract depends on whether the physician is a Medicare participating physician (i.e.,

has agreed to accept assignment on all Medicare claims submitted to Medicare). The

Medicare participation agreement is deemed to apply to such a physician's services in the

sense that the physician may not bill the HCPP, the beneficiary, or any other party for any

amount in excess of the Medicare allowed amount (the fee schedule amount or the actual

charge, if lower).

However, the HCPP has financial responsibility for the amount that would have been the

beneficiary's liability in FFS Medicare (the 20 percent coinsurance and any unmet

deductible).

NOTE: The financial responsibility of the HCPP applies only when the services are

covered by the HCPP, i.e., for emergency or urgently needed services or when the HCPP

refers the enrollee to the non-network physician.

History

(Rev. 30, 09-05-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
11994f243f9a14e8c7939839918840f7ab07a66b0ab75684e27d98473a5cf704
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