Some Counties of a Partial Network PFFS Plan Transitioning to

160.6 - Some Counties of a Partial Network PFFS Plan Transitioning to a Full Network PFFS Plan (Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11) An MA organization with a PFFS partial network contract may consolidate some counties in the service area of a current partial network PFFS PBP into a single new or renewal full network PFFS PBP under a separate contract held by the same legal entity. Current members in the remaining counties in the current year’s partial network PFFS PBP may remain in the subsequent year’s partial network PBP provided the MA organization follows the rules for a renewal plan with a SAR described in section 140.6 of Chapter 4 of this manual. The MA organization must submit enrollment transactions to MARx for current members in the counties affected by the SAR who will be transitioned to a new or renewing full network PBP under a separate contract held by the same legal entity. New members must complete enrollment requests, and the MA organization will submit enrollment transactions to MARx for those new members. Current members transitioned to the PFFS full network plan must receive a standard ANOC.