![]() Retroactive disenrollment from an MA Plan or Program of All-Inclusive Care for the Elderly (PACE) organization where a patient enrolled in an MA plan or PACE organization is later disenrolled from the MA Plan or PACE organization retroactive to or before the date of service, and the MA Plan or PACE organization recoups its payment from a health care professional 6 months or more after the date of serviceįor more information about exceptions to the timely filing requirement, refer to the Medicare Claims Processing Manual, Chapter 1.Retroactive Medicare entitlement involving State Medicaid Agencies where a State Medicaid Agency recoups payment from a health care professional or supplier 6 months or more after the date of service for a dually eligible patient.Retroactive Medicare entitlement where a patient gets notification of Medicare entitlement retroactive to or before the date of service. ![]()
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