US No Surprises Act (42 USC 300gg-111 to 300gg-139) and 45 CFR Part 149
Provider, facility and air ambulance duties: balance billing, notice and consent, disclosure (45 CFR 149.410 to 149.450; 42 U.S.C. 300gg-131 to 300gg-139) – US No Surprises Act (42 USC 300gg-111 to 300gg-139) and 45 CFR Part 149

US No Surprises Act (42 USC 300gg-111 to 300gg-139) and 45 CFR Part 149 300gg-138: Accept the plan's payment and in-network cost sharing as payment in full for continuity-of-care patients and keep following the plan's policies

A provider or facility furnishing items and services to a continuing care patient whose plan or issuer is providing transitional coverage under 42 U.S.C. 300gg-113 (or the parallel ERISA and Internal Revenue Code sections) must accept the plan's payment plus the patient's in-network cost sharing as payment in full, and must continue to adhere to the plan's policies, procedures and quality standards for that patient as if the contract termination had not occurred.

Maintained by Gerard Blokdyk

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