Medicare Managed Care Manual (Pub. 100-16), Ch. 4 § 100.7
Reporting to CMS
100.7 – Reporting to CMS
(Rev. 121, Issued: 04-22-16, Effective: 04-22-16, Implementation: 04-22-16)
MA plans will be required to report on RI Programs through the annual Part C Medicare
Advantage Reporting Requirements. MA plans offering an RI Program are expected to
document and track information regarding their RI Programs and be prepared to provide
that information to CMS upon request. Appropriate documentation includes, but is not
limited to: date(s) of enrollee-specific participation in RI Program services and activities,
rewards and/or incentives attained, how enrollee participation is measured, and
available alternative methods of participation.
PART II – BENEFICIARY PROTECTIONS
(Rev. 121, Issued: 04-22-16, Effective: 04-22-16, Implementation: 04-22-16)
Part II of this chapter, which begins in section 110, provides information on beneficiary
protections, and includes topics such as rules for plan renewals, coordination of benefits,
providers, provision of benefits during disaster situations, and educating and enrolling
enrollees in Medicaid and Medicare savings programs.