Non-Network PFFS Plan Transitioning to a Partial Network

160.1 - Non-Network PFFS Plan Transitioning to a Partial Network PFFS Plan (Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11) An MA organization with a PFFS non-network contract may consolidate one or more current non-network PFFS PBPs into a new or renewal partial network PFFS plan benefit package (PBP) under a separate contract held by the same legal entity. Current members of a PFFS non-network plan or plans being consolidated into a new or renewal PFFS partial network plan will not be required to take any enrollment action, and the organization will not submit enrollment transactions to MARx for those current members, although it may need to submit updated 4Rx data to CMS for the current members affected by the consolidation. New members must complete enrollment requests, and the MA organization will submit enrollment transactions to MARx for those new members. Current members of the consolidated PFFS partial network plan must receive a standard annual notice of change (ANOC).