Federal (United States) · Agency guidance
Chapter 9
48 sections
48 sections
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 10Introduction
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 10.1Application of CMS Employer Group Waiver Authority
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 10.2Employer/Union Group Health Plan Sponsorship of Individual MA
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 10.3Private Reinsurance Arrangements with Employer/Union Group
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 10.4EGWP Application Procedures
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 10.5Employer/Union-Only Group Waiver Plans and COBRA
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 10.6Submission of Part C EGWP Bids
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 10.7CMS EGWP Part C Payment
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 20Benefit Design Requirement Waivers
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 20.1Actuarial Equivalence of Part C Benefits
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 20.2Actuarial Swapping of Part C Benefits Not Covered By Original
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 20.3Mid-Year Benefit Customization/Enhancements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 20.4Part C Premium Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 20.4.1Waiver of Uniform Premium Requirement
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 20.4.2Premium Subsidization by Employer/Union Group Health Plan
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 20.4.3Charging Different Premiums to Different Employer/Union Group
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 20.5Premium Withhold
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30Enrollment Requirement Waivers
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.1Enrollment Eligibility
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.2Minimum Enrollment Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.3Enrollment of End Stage Renal Disease (ESRD) Members
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.4Enrollment of Part B-Only Members
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.5Annual Open Enrollment Periods
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.6Group Enrollment/Disenrollment
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.7Beneficiary Enrollment Notification Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.8Simultaneous Enrollment in an MA Local or Regional Coordinated
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 40Service Area Requirement Waivers
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 40.1Coverage throughout the State
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 40.2Offering of 800-series Network Private Fee-For-Service (PFFS) Plans
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 40.3Service Area Extension and Network Adequacy for MA Local
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50Marketing Requirement Waivers
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.1Prior Review and Approval of Marketing Materials and Election Forms
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.1.1Rules for Direct Contract and “800 series” Plans
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.1.2Rules for Employer/Union Group Plan-Sponsored Individual MA
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.2Customizing Medicare Disclosure Materials and Election Forms
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.3Timing for Issuance of Employer/Union-Sponsored Group Plan
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.4Disclosure Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.5Identification (ID) Card Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.6Agent and Broker Licensure and Training Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.7Providing Information to CMS about the MA Program
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.8Requirement for MA Organization to Provide Specific Information via
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 50.9Beneficiary Customer Service Call Center Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 60Waivers Only Applicable to Direct Contract EGWPs
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 60.1State Licensure
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 60.2Financial Solvency
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 60.3Bonding and Insurance
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 60.4Management and Operations
- Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 60.5Reporting Requirements