[Code of Federal Regulations] [Title 42, Volume 2] [Revised as of October 1, 2002] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR421.103] [Page 817] TITLE 42--PUBLIC HEALTH HUMAN SERVICES PART 421--INTERMEDIARIES AND CARRIERS--Table of Contents Subpart B--Intermediaries Sec. 421.103 Options available to providers and CMS. (a) Except for hospices (which are covered under Sec. 421.117), a provider may elect to receive payment for covered services furnished to Medicare beneficiaries-- (1) Directly from CMS (subject to the provisions of paragraph (b) of this section); or (2) Through an intermediary, when both CMS and the intermediary consent. (b) Whenever CMS determines it appropriate, it may contract with any organization (including an intermediary with which CMS has previously entered into an agreement under Sec. 421.105 and Sec. 421.110 or designated as a regional or alternative regional intermediary under Sec. 421.117) for the purposes of making payments to any provider that does not elect to receive payment from an intermediary. [49 FR 3659, Jan. 30, 1984; 49 FR 9174, Mar. 12, 1984]