TITLE 53. SOCIAL SERVICES AND INSTITUTIONS

CHAPTER 5. ADULT SERVICES

Part 9. Notice of Medicare Assignments

Medicare Assignments -- Notice Required

53-5-901. Medicare assignments -- notice required. (1) A health care provider shall give notice to a medicare patient as to whether or not the provider accepts payment for services on the basis of an assignment, pursuant to section 1842(b)(3)(B)(ii) of the federal Social Security Act, 42 U.S.C. 1395u(b)(3)(B)(ii), the terms of which provide that the full charge for services is the amount of the medicare-approved rate for payment of the applicable service plus any deductible, coinsurance, or copayment required to be paid by the patient.

(2) The notice required under subsection (1) must be posted by each health care provider in a conspicuous area in the provider's place of business.

(3) For purposes of this section, "health care provider" means a person, firm, corporation, association, or institution that provides goods or services subject to reimbursement under the federal medicare program in accordance with Title XVIII of the federal Social Security Act, 42 U.S.C. 1395, et seq.

History: En. Sec. 1, Ch. 306, L. 1989; amd. Sec. 1904, Ch. 56, L. 2009.