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37.85.1105    ELIGIBLE PROVIDER REGISTRATION WITH CENTERS FOR MEDICARE AND MEDICAID (CMS) NATIONAL LEVEL REPOSITORY (NLR)

(1) Medicaid Eligible Providers (EPs) and Eligible Hospitals (EHs) that choose to participate in the MMIP, will register through the Centers for Medicare and Medicaid (CMS) National Level Repository (NLR) indicating the program (Medicare or Medicaid) and the state selected. EPs may choose to participate in either the Medicare incentive program or a state Medicaid Incentive Program, but not both. EHs may participate in both the Medicare and Medicaid Incentive Programs. The department will use the NLR system to confirm provider eligibility and prevent duplication of payments. CMS will notify the department electronically of EPs and EHs who are electing to participate in MMIP.

History: 53-6-113, MCA; IMP, 53-6-111, MCA; NEW, 2011 MAR p. 1374, Eff. 7/29/11.

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