Medicare Managed Care Manual (Pub. 100-16), Ch. 16a § 40
Provider Types: Direct-Contracting, Deemed-Contracting, and
40 - Provider Types: Direct-Contracting, Deemed-Contracting, and
Non-Contracting
(Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11)
42 CFR 422.216
There are three types of providers that may furnish services to members of PFFS plans:
direct-contracting, deemed-contracting, and non-contracting providers. Each is described
in more detail sections 40.1, 40.2, and 40.3 of this chapter.