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CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub 100-02 Medicare Benefit Policy Centers for Medicare & Medicaid Services (CMS) Transmittal 62 Date: DECEMBER 22, 2006 Change Request 5426 Subject: Private Contracting- Definition of Physician/ practitioner I. SUMMARY OF CHANGES: Prior to enactment of the Medicare Benefits Improvement and Protection Act of 2000 (BIPA), section 1802(b)(5)(C) of the Social Security Act (the Act) did not include registered dietitians or nutrition professionals among the list of practitioners who may choose to opt out of Medicare. Section 105(d) of BIPA amended the definition of practitioner located at section 1842(b)(18)(c) of the Act to include registered dietitians or nutrition professionals.

practitioner located in the manual does not include registered dietitians or nutrition professionals, CMS is amending that section so that it is consistent with section 1802(b)(5)(C) of the Act. B. Policy: Section 4507 of the Balanced Budget Act of 1997 amended section 1802 of the Act to permit

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