Medicare program; revision of explanation of Medicare benefit notice and review procedures for beneficiaries; supplementary medical insurance (Part B); court order--HCFA. Notice with comment period.
This notice complies with a U.S. District Court Order (Civil Action Case No. 77-488, Gray Panthers, et al. v. Heckler) issued on November 4, 1985. The order requires us to give notice to class members of the agreement (stipulation) reached by the Gray Panthers and the Department regarding notice and review procedures for Medicare beneficiaries dissatisfied with a carrier's denial of all or part of a claim for services under Part B (Supplementary Medical Insurance) where the amount in controversy is less than $100. The agreement is part of a resolution of constitutional due process issues relating to certain notice and review aspects of the Medicare program identified in a remand order of the U.S. Court of Appeals for the District of Columbia Circuit in the case of Gray Panthers v. Schweiker (Gray Panthers II), 716 F.2d 23 (D.C. Cir., 1983).
D014487:Centers for Medicare and Medicaid Services, U.S.; D003255:Consumer Organizations; D004608:Eligibility Determination / Q000331:legislation & jurisprudence*; D005251:Fees, Medical / Q000331:legislation & jurisprudence; D007342:Insurance Benefits; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D014481:United States