Medicare Participation Agreement Sample Contracts

Medicare Participation Agreement for Physicians and Suppliers CMS-460; OMB# 0938-0373
Medicare Participation Agreement • August 20th, 2021

Subsequent to a lapse of the approval in July 2016, we are requesting a reinstatement without change of the Form CMS-460. Form CMS-460 is the agreement a physician, supplier, or their authorized official signs to become a participating provider in Medicare Part B. By signing the agreement to participate in Medicare, the physician, supplier, or their authorized official agrees to accept the Medicare-determined payment for Medicare covered services as payment in full and to charge the Medicare Part B beneficiary no more than the applicable deductible or coinsurance for the covered services. For purposes of this explanation, the term “supplier” means certain other persons or entities, other than physicians, that may bill Medicare for Part B services (e.g., suppliers of diagnostic tests, suppliers of radiology services, durable medical suppliers (DME) suppliers, nurse practitioners, clinical social workers, physician assistants). Institutions that render Part B services in their outpatient

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at 42 CFR part 485, subpart H specify the minimum conditions that an OPT must meet to participate in the Medicare program.
Medicare Participation Agreement • December 21st, 2015

an OPT must first be certified by a state survey agency as complying with the conditions or requirements set forth in part 485, subpart H of our Medicare regulations. Thereafter, the OPT is subject to regular surveys by a state survey agency to determine whether it continues to meet these requirements. There is an alternative, however, to surveys by state agencies.

44970 Federal Register / Vol. 75, No. 146 / Friday, July 30, 2010 / Notices
Medicare Participation Agreement • May 1st, 2023

Agreement; Form No.: CMS–460 (OMB# 0938–0373); Use: The CMS–460 is the agreement a physician, supplier or their authorized official signs to participate in Medicare Part B. By signing the agreement to participate in Medicare, the physician, supplier or their authorized official agrees to accept the Medicare-determined payment for Medicare covered services as payment in full and to charge the Medicare Part

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