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Library: Policy

317:30-5-96.6. Payment for Medicare/Medicaid dual eligible individuals

Revised 9-1-19

(a) For dual eligible members. Payment is made for Medicare-related deductibles and/or coinsurance.

(b) For individuals who are not eligible for Part A services. For individuals who have exhausted Medicare Part A benefits, claims must be accompanied by a statement from the Medicare Part A Regional Administrative Contractor showing the date benefits were exhausted.

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