Federal (United States) · Agency guidance
Chapter 11
45 sections
45 sections
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 01Introduction
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 10Definitions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 20General Medicare Advantage Application and Contract Provisions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 20.1Application Procedures and Conditions for Entering an MA
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 20.2Evaluation and Determination of Applications
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 20.3Monitoring and Promoting Staff and Affiliated Provider
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 30Minimum Enrollment Requirements for MA Organizations
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 30.1Minimum Enrollment Waiver
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 40Term and Effective Date of an MA Contract
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 50Contracting Prohibitions Under the Medicare Advantage (MA)
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 60MA Contract Renewal
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 60.1MA Contracts are Automatically Renewed
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 70Contract Nonrenewal
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 70.1Nonrenewal of MA Contract: MA Organization-Initiated
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 70.2Responsibilities of Nonrenewing MA Organizations
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 70.3Nonrenewal of MA Contract: CMS-Initiated
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 80Contract Terminations
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 80.1When CMS Terminates an MA Contract
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 80.2Termination Process When CMS Initiates Contract Termination
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 80.3Immediate MA Contract Termination by CMS
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 80.4When an MA Organization Terminates an MA Contract
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 80.5Termination Process When an MA Organization Initiates
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 90Modification or Termination of an MA Contract by Mutual
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 100MA Contract Provisions
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 100.1Material Provisions of an MA Contract
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 100.2Other Provisions of the MA Contract
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 100.3Beneficiary Financial Protections
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 100.4Provider and Supplier Contract Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 100.5Administrative Contracting Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 100.6Implementation of Written Policies With Respect to the Enrollee
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110MA Organization Relationship with Related Entities, Contractors,
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.1General Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.2Delegation Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.3MA Oversight and Beneficiary Protection Guidance
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.4Policies and Procedures for Assessing Contracting Provider
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.4.1Access to and Continuity of Care
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.4.2Prevention of Member Billing
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.4.3Maintenance of and Access to MA-Related Record
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.4.4Disclosure Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.4.5Additional MA Reporting Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.4.6Reporting Requirements for Combined Financial Statements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 110.4.7Reporting and Disclosure Requirements under Employment
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 120Compliance with Other Laws and Regulations
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 130Certification of Data That Determine Payment Requirements
- Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 140Special Rules for Religious Fraternal Benefit (RFB) Societies