4.8.1 QMB/MQMB ClientsMedicaid pays the beneficiary's Parts A and B deductibles and coinsurance liabilities on valid Medicare claims. These claims must be filed with Medicare first. These guidelines exclude clients living in a nursing facility who receive a vendor rate for client care through DADS. Refer to: "Reimbursement Methodology" for limitations on reimbursement. |
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Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved. |
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