42 C.F.R. § 421.3 Definitions.
Title 42 - Public Health
Intermediary means an entity that has a contract with CMS to determine and make Medicare payments for Part A or Part B benefits payable on a cost basis (or under the Prospective Payment System for hospitals) and to perform other related functions. For purposes of designating regional or alternative regional intermediaries for home health agencies and of designating intermediaries for hospices under §421.117 as well as for applying the performance criteria in §421.120 and the performance standards in §421.122 and any adverse action resulting from such application, the term intermediary also means a Blue Cross Plan which has entered into a subcontract approved by CMS with the Blue Cross and Blue Shield Association to perform intermediary functions. [59 FR 681, Jan. 6, 1994]
Title 42: Public Health
PART 421—INTERMEDIARIES AND CARRIERS
Subpart A—Scope, Definitions, and General Provisions
§ 421.3 Definitions.
