[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: 42CFR421.3]

[Page 815-816]
 
                         TITLE 42--PUBLIC HEALTH
 
                             HUMAN SERVICES
 
PART 421--INTERMEDIARIES AND CARRIERS--Table of Contents
 
          Subpart A--Scope, Definitions, and General Provisions
 
Sec. 421.3  Definitions.

    Intermediary means an entity that has a contract with CMS to 
determine and make Medicare payments for Part A or Part B benefits 
payable on a cost basis (or under the Prospective Payment System for 
hospitals) and to perform other related functions. For purposes of 
designating regional or alternative regional intermediaries for

[[Page 816]]

home health agencies and of designating intermediaries for hospices 
under Sec. 421.117 as well as for applying the performance criteria in 
Sec. 421.120 and the performance standards in Sec. 421.122 and any 
adverse action resulting from such application, the term intermediary 
also means a Blue Cross Plan which has entered into a subcontract 
approved by CMS with the Blue Cross and Blue Shield Association to 
perform intermediary functions.

[59 FR 681, Jan. 6, 1994]