What happens if a provider furnishes services to a Today’s Options member but the deeming conditions have not been met?
If a provider furnishes services to a member of Today’s Options and the conditions of deeming have not been met, then the provider is considered a non-deemed provider. In this case, a non-deemed provider is entitled to be paid the amount they would have received for the service under original fee-for-service Medicare. It is important to note that a provider can choose whether they will provide services to a member in Today’s Options. However, the provider cannot choose whether they are classified as a deemed or non-deemed provider.
