cms procedure documentation requirements

The face-to-face encounter must support payment for the item(s) ordered/prescribed, and be documented in the pertinent portion of the medical record (for example, history, physical examination, diagnostic tests, summary of findings, progress notes, treatment plans or other sources of information that may be appropriate). The supplier should also have on file any documentation containing a description of the item delivered to the beneficiary to determine the accuracy of claims coding including, but not limited to, a voucher, invoice or statement in the supplier records. The following DMEPOS items require a date span on all claims submitted to the DME MACs: Suppliers must span the dates of service using "From" and "To" dates on any electronic or paper claim for the items listed above. Revision Effective Date: 01/01/2019DOCUMENTATION REQUIREMENTS:Added: Narrative section to clarify longstanding claims processing instructionsAdded: Date Span section to clarify longstanding claims processing instructions. Enter the CPT/HCPCS code in the MCD Search and select your state from the drop down. Certain items require an order based on statute (e.g., therapeutic shoes for diabetics, oral anticancer drugs, and oral antiemetic drugs which are a replacement for intravenous antiemetic drugs). Any communication or data transiting or stored on this system may be disclosed or used for any lawful Government purpose. Pursuant to 42 CFR 414.40 and 45 CFR 162.1002, CMS has the authority to assign and manage HCPCS codes (create, delete, change code narrative etc.). These materials contain Current Dental Terminology, (CDT), copyright 2020 American Dental Association (ADA). 4) Visit Medicare.gov or call 1-800-Medicare. Please Note: For Durable Medical Equipment (DME) MACs only, CPT/HCPCS codes remain located in LCDs. "JavaScript" disabled. PROOF OF DELIVERY REQUIREMENTS FOR RECENTLY ELIGIBLE MEDICARE FFS. Information that is sufficiently detailed to unambiguously identify the specific product delivered to the beneficiary and the HCPCS code used to bill for that item must be maintained by the supplier and be available upon request. The site is secure. However, routine periodic maintenance, such as testing, cleaning, regulating, and checking is not covered. This revision is to an article that is not a local coverage determination. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. Jul 21, 2010. For items other than PMDs that appear on the Required List, the treating practitioner that conducted the face-to-face encounter does not need to be the prescriber for the DMEPOS item; however, the prescriber must: A qualifying face-to-face encounter is required each time a new order/prescription for one of the specified items on the Required List is ordered. 42 CFR 424.57(c)(12) requires suppliers to maintain POD documentation in their files. Note: The information in this document supersedes the material currently contained in all LCDs and related policy articles. Resources such as LCDs, LCD-related Policy Articles, DME MAC articles, code determinations letters and DMECS are useful; but many products currently on the market have not been reviewed. CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. else{document.getElementById("usprov").href="/web/"+"jeb"+"/help/us-government-rights";}, Advance Beneficiary Notice of Noncoverage (ABN), Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), Medicare Diabetes Prevention Program (MDPP), Diabetic, Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT), Fee-for-Time Compensation Arrangements and Reciprocal Billing, Independent Diagnostic Testing Facility (IDTF), Documentation Requests: How, Who and When to Send, Medical Documentation Signature Requirements, Supplemental Medical Review Contractor (SMRC), Unified Program Integrity Contractor (UPIC), Provider Outreach and Education Advisory Group (POE AG), PECOS and the Identity and Access Management System, Provider Enrollment Reconsiderations, CAPs, and Rebuttals, Surgery and Procedure Services Documentation Requirements, Identifying Which Entity Completed a Part B Claim Review, Automated Development System (ADS) Letter, click here to see all U.S. Government Rights Provisions, American Hospital Association Online Store, Beneficiary identification, date of service, and provider of the service should be clearly identified on each page of the submitted documentation, Practitioner, nurse, and ancillary progress notes, Documentation of the devices, implants, biological products used. A retrospective attestation statement by the supplier or beneficiary is not sufficient. As a condition for payment, 42 CFR 410.38 and Final Rule 1713 (84 Fed. As part of our Patients over Paperwork Initiative, Medicare is simplifying documentation requirements so that you The medical record is not limited to treating practitioners office records but may include records from hospitals, nursing facilities, home health agencies, other healthcare professionals, etc. The supplier must have on file a description of items provided to the beneficiary in sufficient detail to determine the accuracy of claims coding including a description of the items(s) delivered. This revision is to an article that is not a local coverage determination. Unauthorized or illegal use of the computer system is prohibited and subject to criminal and civil penalties. As clinical or administrative codes change or system or policy requirements dictate, CR instructions are updated to ensure the systems are applying the most appropriate claims processing instructions applicable to the policy. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. This revision is to an article that is not a local coverage determination. Learn about proper medical record documentation requirments; how to provide accurate and supportive medical record documentation. CMS Disclaimer Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). THE LICENSES GRANTED HEREIN ARE EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THESE AGREEMENTS. (not all-inclusive). This revision is to an article that is not a local coverage determination. Continued use describes the ongoing utilization of supplies or a rented item by a beneficiary. if(pathArray[4]){document.getElementById("usprov").href="/web/"+pathArray[4]+"/help/us-government-rights";} Revision Effective Date: 11/20/2017DETAILED WRITTEN ORDERS: Revised: Description of all items ordered GENERAL: Added: Seven (7) year documentation retention direction PROOF OF DELIVERY: Revised: POD shipping date definition for Method 2 PROOF OF DELIVERY REQUIREMENTS FOR RECENTLY ELIGIBLE MEDICARE FFS: Revised: Supplier record information to an and from an or REPLACEMENT: Revised: updated word entire to entirely. For Medicare claim purposes, this product classification listing is accepted as evidence of correct coding. Please click here to see all U.S. Government Rights Provisions. The DME MACs have the authority to evaluate products to make benefit category and coding determinations for any DME item that does not logically fall into any of the generic categories listed in NCD 280.1. A WOPD must be completed within six (6) months after the required face-to-face encounter. The scope of this license is determined by the AMA, the copyright holder. Copyright © 2022, the American Hospital Association, Chicago, Illinois. Complete absence of all Revenue Codes indicates Reproduced with permission. If you would like to extend your session, you may select the Continue Button. Revision Effective Date: 04/06/2020REFILL DOCUMENTATION:Added: "REQUIREMENTS" to title PROOF OF DELIVERY (POD): Added: Prohibition for billing prior to discharge date. Official websites use .govA ( A change in the physiological condition of the patient resulting in the need for a replacement. BY CLICKING ABOVE ON THE LINK LABELED "I Accept", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THESE AGREEMENTS. (Or, for DME MACs only, look for an LCD.) Language reverts to original three methods of delivery found in 04/28/16 version of SDL article. CDT is a trademark of the ADA. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES A routine prescription for refills is not needed. Revised: Corrects clerical error introduced with 01/01/2017 version. Receive Medicare's "Latest Updates" each week. This Agreement will terminate upon notice if you violate its terms. For consumable supplies i.e., those that are used up (e.g., ostomy or urological supplies, surgical dressings, etc.) No billing may be made for any DMEPOS to the DME MAC prior to the date of discharge from an inpatient facility. There are special rules for the replacement of artificial arms, legs and eyes. Therefore, you have no reasonable expectation of privacy. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Medicare does not separately reimburse for repairs of: A new CMN and/or treating practitioners order is not needed for repairs. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Unless specified in the article, services reported under other CMS DISCLAIMER. Method 3Delivery to Nursing Facility on Behalf of a Beneficiary. For items that the beneficiary obtains in-person at a retail store, the signed delivery slip or a copy of the itemized sales receipt is sufficient documentation of a request for refill. This revision is to an article that is not a local coverage determination. var url = document.URL; There are three methods of delivery. For Medicare to provide payment, the beneficiary must meet all Medicare coverage, coding, and documentation requirements for the DMEPOS items in effect on the DOS of the initial Medicare claim. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. The responsibility for the content of this file/product is with Noridian Healthcare Solutions or the CMS and no endorsement by the AMA is intended or implied. means youve safely connected to the .gov website. Revision Effective Date: 01/01/2023ORDERS:Revised: Reference to 1861(r)(1) which refers to physicians by removing (1) to reflect the full statutory definition of treating practitionerWRITTEN ORDERS PRIOR TO DELIVERY (WOPD):Added: Statutory definition of treating practitioner for PMDsFACE-TO-FACE ENCOUNTER:Removed: For example, the National Coverage Determination 240.2 Home use of Oxygen requires a face-to-face examination within a month of starting home oxygen therapy. (effective 09/27/2021). Templates and forms, including CMS CMNs prior to DOS 01/01/2023, are subject to corroboration with information in the medical record. Upon request by a contractor, DMEPOS suppliers must provide documentation of the completed WOPD. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, A52457 - Ankle-Foot/Knee-Ankle-Foot Orthoses - Policy Article, A52458 - Automatic External Defibrillators - Policy Article, A54516 - Bowel Management Devices - Policy Article, A52459 - Canes and Crutches - Policy Article, A52476 - Cervical Traction Devices - Policy Article, A58833 - Enteral Nutrition - Policy Article, A52478 - External Breast Prostheses - Policy Article, A52507 - External Infusion Pumps - Policy Article, A52463 - Facial Prostheses - Policy Article, A52464 - Glucose Monitor - Policy Article, A52502 - Heating Pads and Heat Lamps - Policy Article, A52494 - High Frequency Chest Wall Oscillation Devices - Policy Article, A52508 - Hospital Beds And Accessories - Policy Article, A52474 - Immunosuppressive Drugs - Policy Article, A52477 - Infrared Heating Pad Systems - Policy Article, A52495 - Intrapulmonary Percussive Ventilation System - Policy Article, A52509 - Intravenous Immune Globulin - Policy Article, A52496 - Lower Limb Prostheses - Policy Article, A52497 - Manual Wheelchair Bases - Policy Article, A52510 - Mechanical In-exsufflation Devices - Policy Article, A52511 - Negative Pressure Wound Therapy Pumps - Policy Article, A52479 - Oral Anticancer Drugs - Policy Article, A52480 - Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article, A52512 - Oral Appliances for Obstructive Sleep Apnea - Policy Article, A52481 - Orthopedic Footwear - Policy Article, A52513 - Osteogenesis Stimulators - Policy Article, A52487 - Ostomy Supplies - Policy Article, A52514 - Oxygen and Oxygen Equipment - Policy Article, A52488 - Pneumatic Compression Devices - Policy Article, A52467 - Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea - Policy Article, A52498 - Power Mobility Devices - Policy Article, A52489 - Pressure Reducing Support Surfaces - Group 1 - Policy Article, A52490 - Pressure Reducing Support Surfaces - Group 2 - Policy Article, A52468 - Pressure Reducing Support Surfaces - Group 3- Policy Article, A52499 - Refractive Lenses - Policy Article, A52517 - Respiratory Assist Devices - Policy Article, A52518 - Seat Lift Mechanisms - Policy Article, A52469 - Speech Generating Devices (SGD) - Policy Article, A52500 - Spinal Orthoses: TLSO and LSO - Policy Article, A54563 - Surgical Dressings - Policy Article, A52501 - Therapeutic Shoes for Persons with Diabetes - Policy Article, A52492 - Tracheostomy Care Supplies - Policy Article, A52713 - Transcutaneous Electrical Joint Stimulation Devices (TEJSD) - Policy Article, A52520 - Transcutaneous Electrical Nerve Stimulators (TENS) - Policy Article, A52711 - Tumor Treatment Field Therapy (TTFT) - Policy Article, A52521 - Urological Supplies - Policy Article, A52712 - Vacuum Erection Devices (VED) - Policy Article, A52504 - Wheelchair Options/Accessories - Policy Article, A52505 - Wheelchair Seating - Policy Article, L33686 - Ankle-Foot/Knee-Ankle-Foot Orthosis, L33690 - Automatic External Defibrillators, L33785 - High Frequency Chest Wall Oscillation Devices, L33786 - Intrapulmonary Percussive Ventilation System, L33795 - Mechanical In-exsufflation Devices, L33821 - Negative Pressure Wound Therapy Pumps, L33827 - Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics), L33611 - Oral Appliances for Obstructive Sleep Apnea, L33718 - Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea, L33830 - Pressure Reducing Support Surfaces - Group 1, L33642 - Pressure Reducing Support Surfaces - Group 2, L33692 - Pressure Reducing Support Surfaces - Group 3, L33369 - Therapeutic Shoes for Persons with Diabetes, L34821 - Transcutaneous Electrical Joint Stimulation Devices (TEJSD), L33802 - Transcutaneous Electrical Nerve Stimulators (TENS), L34823 - Tumor Treatment Field Therapy (TTFT), Some older versions have been archived. that coverage is not influenced by Bill Type and the article should be assumed to incorporated into a contract. website belongs to an official government organization in the United States. apply equally to all claims. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. ET, Monday through Friday. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Review the DRG Validation Review guidelines and related coding review practices to ensure your medical record documentation supports any severe must be supported by a new treating practitioner's order and documentation supporting the reason for the replacement. FOURTH EDITION. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. Reimbursement shall be based on the specific utilization amount that is supported by contemporaneous medical records. CMS Manual System Transmittal 80: Requirements for Ordering and Following Orders for Diagnostic Tests. For the purposes of Medicare reimbursement, repairs are not synonymous with replacements. Published 06/26/2023 In this informative session, we will discuss a general overview of rehabilitation services, provide you with details of our Medical Review process, navigate through documentation requirements related to outpatient therapeutic procedures, and review helpful resources. The current required Face-to-Face Encounter and Written Order Prior to Delivery List is available here. There must be sufficient medical information included in the medical record to demonstrate that all other applicable coverage criteria are met. Regardless of the method of delivery, the contractor must be able to determine that the item(s) delivered are the same item(s) submitted for Medicare reimbursement and that the item(s) were received by a specific beneficiary: Method 1Direct Delivery to the Beneficiary by the Supplier. In the absence of program instructions, carriers may determine the RUL, but in no case can it be less than 5 years. lock This system is provided for Government authorized use only. This page displays your requested Article. CMS is now allowing clinicians to review and verify 03/11/2021: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. CMS believes that the Internet is The name and National Provider Identifier (NPI) of the treating practitioner on the order/prescription for the item or service shall be used on the claim submitted to the DME MAC. on the guidance repository, except to establish historical facts. When the suppliers delivery documents have both a supplier-entered date and a beneficiary or beneficiarys designee signature date on the POD document, the beneficiary (or designee) entered date is the DOS. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. Revision Effective Date: 01/01/2023MEDICAL RECORD DOCUMENTATION:Added: (for DOS prior to 01/01/2023)" after CMNAdded: prior to DOS 01/01/2023 in the second reminder bullet after CMN CONTINUED MEDICAL NEED:Added: "of supplies" to the end of the first bullet after "refills"Added: Bullet justifying continued medical need to include an order/prescription for repairsAdded: obtained prior to DOS 01/01/2023, in the fourth bullet of items that justify continued need after CMN or DIFCERTIFICATE OF MEDICAL NECESSITY (CMN) & DME INFORMATION FORM (DIF):Added: Billing information relevant to CMNs and DIFs, for DOS affected by the CMN and DIF eliminationREPLACEMENT:Added: (prior to DOS 01/01/2023) after "CMN". Article document IDs begin with the letter "A" (e.g., A12345). It is tool used for reviewing the details of the case during the presentation The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential letters of medical necessity) are deemed not to be part of a medical record for Medicare payment purposes. Revision Effective Date: 08/28/2018PRESCRIPTION (ORDER) REQUIREMENTSRemoved: Future start date languageRevised: Elements of the DWORemoved: Prescribing physician's name from the DWORemoved: Additional order date instructionsAdded: Specific references to WOPD requirementsAdded: Practitioner to all physician referencesDOCUMENTATION REQUIREMENTSClarified: Supplier documentation as it relates to specific products provided to beneficiary. Delivery directly to the beneficiary or authorized representative, Delivery via shipping or delivery service, Delivery of items to a nursing facility on behalf of the beneficiary, A description of the item(s) being delivered. [1] CMS has made significant changes in E/M notes to reduce burden on practitioners in the past years. Once a provider compiles all the necessary documentation, it is important to submit them to the appropriate contractor according to the request received. Most DMEPOS accessory/supply items provided on a recurring basis can be dispensed with a three-month supply. This information must be kept on file and be available upon request. or Anesthesia records (including pre- and post-anesthesia). The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. Providers must ensure all necessary records are submitted to support services rendered. You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. In the event of a claim review, information contained directly in the contemporaneous medical record is the source required to justify payment except as noted elsewhere for prescriptions and CMNs (for DOS prior to 01/01/2023). Correct HCPCS coding is a determination that the item provided to a beneficiary is billed using the appropriate HCPCS code for that item. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. You can decide how often to receive updates. .gov Timely documentation in the beneficiarys medical record showing usage of the item, related option/accessories and supplies; Supplier records documenting the request for refill/replacement of supplies in compliance with the REFILL DOCUMENTATION REQUIREMENTS section. website belongs to an official government organization in the United States. They may include: Multiple CMS contractors are charged with completing reviews of medical records. 100-02), Chapter 15, Section 110.2.C. Each charge on a claim should CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Applications are available at the American Dental Association web site. For dates of service for which a DIF is required, a DIF, which has been completed, signed, and dated by the supplier, must be kept on file and made available upon request. The replacement of parts or components that make up the base item is considered to be a repair. AMA Disclaimer of Warranties and Liabilities 08/08/2019: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. Refer to the applicable Local Coverage Determination for information about the medical necessity criteria for the item(s) being ordered. Revision Effective Date: 04/06/2020MEDICAL RECORD DOCUMENTATION: Added: Statement regarding content of beneficiarys medical record02/03/2022: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. Washington, D.C. 20201 Any attempt by the supplier and/or facility to substitute an item that is payable to the supplier for an item that, under statute, should be provided by the facility, may be considered fraudulent. Verify that a qualifying face-to-face encounter occurred within the 6-months prior to the date of their prescription; and. In most instances Revenue Codes are purely advisory. License to use CPT for any use not authorized here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Due to electronic filing requirements, claims received with these forms attached will be rejected and returned to the provider or supplier. CPT is a trademark of the AMA. WebThe Medicare Program Integrity Manual, Chapter 3, Section 3.2.3.3, Third-Party Additional Documentation Request states: The treating physician, another clinician, provider, or supplier should submit the requested documentation. With respect to Medicare reimbursement for the repair, there are two documentation requirements: The supplier must maintain detailed records describing the need for and nature of all repairs including a detailed explanation of the justification for any component or part replaced as well as the labor time to restore the item to its functionality. Suppliers may use the shipping date as the DOS. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. Incomplete or illegible records can result in denial of payment for services billed to Medicare. For all DMEPOS items, the initial justification for medical need is established at the time the item(s) is first ordered; therefore, beneficiary medical records demonstrating that the item is reasonable and necessary are created just prior to, or at the time of, the creation of the initial prescription. In instances where the supplies are delivered directly by the supplier, the date the beneficiary received the DMEPOS supply must be the DOS on the claim. an effective method to share Articles that Medicare contractors develop. will not infringe on privately owned rights. ICN: 909160. These R&N criteria are often referred to as medical necessity. 04/02/2020: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. However, such dates should not demonstrate significant variation. The description can be either a narrative description (e.g., lightweight wheelchair base), a HCPCS code, the long description of a HCPCS code, or a brand name/model number. All other Codes (ICD-10, Bill Type, and Revenue) have moved to Articles for DME MACs, as they have for the other Local Coverage MAC types. Language reverts to original three methods of delivery found in 04/28/16 version of SDL article. At any time, and for any lawful Government purpose, the government may monitor, record, and audit your system usage and/or intercept, search and seize any communication or data transiting or stored on this system. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. Replacement of a beneficiary owned DMEPOS item typically involves providing an identical or nearly identical item. Not Otherwise Classified (NOC) BILLING INFORMATION. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer The American Hospital Association ("the AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. To license the electronic data file of UB-04 Data Specifications, contact AHA at (312) 893-6816. This warning banner provides privacy and security notices consistent with applicable federal laws, directives, and other federal guidance for accessing this Government system, which includes all devices/storage media attached to this system. The supplier should also obtain as much documentation from the patient's medical record in order to assure themselves that coverage criteria for an item have been met. The use of the information system establishes user's consent to any and all monitoring and recording of their activities. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Otherwise, a separate WOPD in addition to a subsequently completed and signed CMN is necessary. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. The submission of these records shall not guarantee payment as all applicable coverage requirements must be met.
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