Program_Memos / 2002 / AB-02-153

Why This Topic Matters

It provides the operational framework for a Medicare demonstration project and identifies the administrative and billing changes tied to the program’s rollout. Readers can use it to determine whether the memorandum applies to their organization or claims workflow before reviewing the full guidance.

Article Sections

1. Program Memorandum

   Introductory memorandum details from CMS and the transmittal information associated with the document.

2. Scope

   Overview of the demonstration project, the beneficiary population, and the general claims-processing context.

3. Background

   Program background, statutory basis, and the broad purpose and duration of the demonstration.

4. Related Change Requests (CRs)

   List of prior change requests tied to this demonstration and cited as related implementation material.

5. Business Requirements

   Operational requirements for participating sites, claims handling, demonstration timing, and related administrative provisions.

6. Implementation

   Effective date, implementation date, funding notes, and document retention information.

7. Attachment I: Demonstration Sites and Contractors Used for Processing Claims

   Table of participating demonstration sites and the contractors used for notice-of-election and claim processing support.

8. Attachment II: Additional HCPCS Codes for Medicare Coordinated Care and Disease Management Demonstrations

   Attachment listing demonstration-related HCPCS additions, related edit information, and general payment/billing context.