Federal (United States) · Agency guidance
Chapter 5
37 sections
37 sections
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 10Introduction
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 20Medicare Quality Improvement Program
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 20.1Chronic Care Improvement Program (CCIP) and Quality Improvement
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 20.1.1Chronic Care Improvement Program (CCIP)
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 20.1.2Quality Improvement Project (QIP)
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 20.2Additional Quality Improvement Program Requirements for Special
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 20.2.1Model of Care Elements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 20.2.2Model of Care Scoring Criteria
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 20.2.3Special Needs Plans Health Risk Assessment Tool (HRAT)
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 20.2.4Structure & Process (S&P) Measures
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30Standard MAO Reporting Requirements for HEDIS®, HOS, and
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30.1HEDIS® Reporting Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30.1.1HEDIS® Compliance Audit Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30.1.2Final Audit Reports, Use and Release
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30.2Medicare HOS Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30.2.1HOS-Modified
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30.2.2HOS Data Feedback
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 30.3Medicare CAHPS® Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40Medicare Advantage (MA) Deeming Program Overview
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.1Deeming Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.2Deemed MAOs
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.2.1Deemed Status and Surveys
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.2.2Removal of an MAO’s Deemed Status
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.3CMS’s Role in Deeming
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.3.1Oversight of AOs
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.3.2Enforcement Authority
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.3.3Withdrawal of Approval
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.4Obligations of AOs with Deeming Authority
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.4.1Reporting Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.4.2Application Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.4.3Application Notices
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.4.4Withdrawing an Application
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.5Reconsideration of a Decision to Deny, Remove or Not Renew
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.5.1Informal Hearing Procedures
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.5.2Informal Hearing Findings
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 40.5.3Final Reconsideration Determinations
- Medicare Managed Care Manual (Pub. 100-16), Ch. 5 § 50Definitions