Medicare Managed Care Manual (Pub. 100-16), Ch. 16a § 70.4.2
Payment Rules for Direct-Contracting Providers
70.4.2 - Payment Rules for Direct-Contracting Providers
(Rev. 99, Issued: 05-27-11, Effective: 05-27-11, Implementation: 05-27-11)
The payment rules that apply under full network PFFS plans also apply to partial network
plans. Refer to section 70.3.2 of this chapter.