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Form CMS-1561, Health Insurance Benefit Agreement is the official agreement between CMS and approved providers of Medicare services. The Government agrees to reimburse the provider for covered services; the provider agrees to conform to relevant provisions of the Social Security Act and 42 CFR.
Sources: https://surveyortraining.cms.hhs.gov/CEOC/L2/popups/L2_30c20a_popup.html
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