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Can a plan pay beneficiaries that sign up to be “ambassadors” a flat fee for transportation?

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Can a plan pay beneficiaries that sign up to be “ambassadors” a flat fee for transportation?

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A. The plan may reimburse the beneficiary for any actual, reasonable transportation costs but must not pay the beneficiary a flat fee for transportation. If the plan employs a beneficiary to be an “ambassador”, and travel reimbursement is part of a bona fide employment arrangement, then CMS has no oversight of this issue.

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