What qualifications must a provider have to be eligible to deliver services to Medicare beneficiaries enrolled in the Aetna Medicare OpenSM Plan (PFFS)?
A provider must be eligible to receive payment under Original Medicare, be willing to provide covered services to a PFFS member and accept Aetna’s Terms and Conditions of Payment. Physicians and facilities must be state licensed and have a Medicare billing number or be eligible to obtain one. Institutional providers treating PFFS members, such as hospitals and skilled nursing facilities, must be Medicare certified.
Related Questions
- What qualifications must a healthcare provider have in order to be eligible to furnish services to Medicare beneficiaries who are enrolled in a PFFS plan?
- What qualifications must a provider have to be eligible to deliver services to Medicare beneficiaries enrolled in the Aetna Medicare OpenSM Plan (PFFS)?
- What qualifications must a provider have to be eligible to deliver services to Medicare beneficiaries enrolled in the Aetna Medicare OpenSM Plan?
