Balance Billing

As required by 42 CFR 422.504(g)(1)(iii), Provider agrees that, Enrollees who are dually-eligible for Medicare and the Medicaid Program shall not be responsible for any cost-sharing for Medicare Part A or Part B services when these amounts are the responsibility of the state Medicaid program. Participating Providers shall accept payment from CareMore payment in full for such services or, where permitted, may pursue payment from the appropriate state agency.