TMPPM 2008 > Provider Information > Client Eligibility > Medicare/Medicaid Clients

   
 

4.8.1 QMB/MQMB Clients

Medicaid 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.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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