Program_Memos / 2000 / AB-00-128

Why This Topic Matters

It clarifies an operational Medicare administration update that could affect when coverage is treated as secondary and how contractor systems should reflect coordination-period end dates. Accurate handling of this guidance helps avoid premature closure of coordination periods and payment mismatches.

Article Sections

1. Change Request 817

   Introduces the subject of the memorandum and the Medicare administrative change being addressed. Provides the broader policy and systems context for the update.

2. Subject: Extension of the Limitation on Payment for Services to Individuals Entitled to Benefits on the Basis of End Stage Renal Disease (ESRD) Who Are Covered by Group Health Plans (GHPs)

   Summarizes the policy topic and the beneficiary coverage scenario addressed in the memorandum. Describes the general coordination-of-benefits framework and related administrative processing context.