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References to the claim form in this chapter refer to the paper Form CMS-1450 unless otherwise noted. However, the instructions regarding specific data Medicare Claims Processing Manual. Downloads. Chapter 1 - General Billing Requirements (PDF) Chapter 10 - Home Health Agency Billing (PDF). Molina Healthcare will follow CMS Medicare methodology for “100-04 Medicare Claims Processing Manual” and “Chapter 10 – Home Health Agency Billing (PDF)In the Medicare. Claims Processing Manual, chapter 10, 40.1, CMS states “ within 5 calendar days after the “from” date of a HH period of care.” CMS has Medicare Claims Processing Manual Chapter 10 - Home Health Agency Billing Table of Contents (Rev. 3268, 05-29-15) Transmittals for Chapter 10 10 - General Medicare Claims Processing Manual. 5 hours ago Cms.gov Visit URL. Medicare Claims Processing Manual . Chapter 10 - Home Health Agency Billing . Final Claim for Episode. 320. Nonpayment Claim. 34X Outpatient Services. 3XQ Reopening. 3XG or 3XI. Contractor adjustment. CMS Pub. 100-04, Chapter 10