Detailed description of any unusual complicating circumstances related to the medical care provided that the physician or different individual skilled supplier may select to submit individually. No dual status will be acknowledged by the Office of CHAMPUS. Pastoral counselors should elect to become one of the categories of extramedical CHAMPUS supplies specified above. Once approved as both a pastoral counselor, or an authorized marriage and family therapist, claims evaluate and reimbursement shall be in accordance with the standards established for the elected supplier class.
Medicare eligible retirees and Medicare eligible retiree family members who’re beneficiaries covered by 10 U.S.C. 1086 as every turn into individually eligible for Medicare Part A and enroll in Medicare Part B. Active responsibility family members, who’re beneficiaries covered by 10 U.S.C. 1079 (also referred to in this part as “active duty family category”). Review of a pattern of claims for each hospital reimbursed underneath the CHAMPUS DRG-based fee system. Sample dimension shall be decided based upon the volume of claims submitted.