42 C.F.R. § 424.522

Additional effective dates

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(a) Reassignments. (1) The effective date of a reassignment of benefits under § 424.80 is the later of the dates identified in § 424.520(d)(1)(i) and (ii).

(2) Retrospective billing in accordance with a reassignment of benefits and as described in § 424.521(a)(1) is permissible if the circumstances in § 424.521(a)(1) are applicable.

(b) Form CMS-855O enrollment. The effective date of a Form CMS-855O enrollment is the date on which the Medicare contractor received the Form CMS-855O application if all other requirements are met.

[86 FR 62419, Nov. 9, 2021, as amended at 90 FR 55617, Dec. 2, 2025]
Notes of Decisions
Cited in 1 case (1 in the last 5 years), 2024–2024 · leading case: United States of Am. v. Healthcare Assocs. of Texas LLC (N.D. Tex. 2024).
United States of Am. v. Healthcare Assocs. of Texas LLC (N.D. Tex. 2024). “at 477 (relying on 42 C.F.R. § 424.522 ). Gosfield is permitted to discuss HCAT’s practices and whether they are consistent with industry standards.”
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