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CMS Manual SystemDepartment of Health & Human Services (HHS)Pub 10020 Onetime NotificationCenters for Medicare & Medicaid Services (CMS)Transmittal 11753Date: December 21, 2022Change Request 13016 SUBJECT:
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Gather all necessary personal information such as social security number, date of birth, and contact information.
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Determine eligibility by checking if you meet the requirements for both Medicare and Medicaid.
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Choose the right plan by deciding between original Medicare, Medicare Advantage, or a Medicare prescription drug plan.
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Individuals who are aged 65 or older and qualify for Medicare based on their age.
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Individuals with certain disabilities or medical conditions that require extensive healthcare services.
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Low-income individuals or families who cannot afford private health insurance.
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Medicare is a federal health insurance program for individuals aged 65 and older, while Medicaid is a joint federal and state program that helps with healthcare costs for individuals with low income.
Providers of healthcare services who participate in the Medicare and Medicaid programs are required to file Medicare and Medicaid claims.
To fill out Medicare and Medicaid claims, providers need to submit accurate and complete information about the services provided to patients.
The purpose of Medicare and Medicaid is to provide access to healthcare services for eligible individuals and to help cover the costs of medical care.
Providers must report details about the services provided, patient information, and any applicable diagnosis codes and billing codes.
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