Medicare Managed Care Manual (Pub. 100-16), Ch. 6 § 90
Provider Indemnification of MA Organization Prohibited
90 - Provider Indemnification of MA Organization Prohibited
(Rev. 24, 06-06-03)
An MA organization may not contract or otherwise provide, directly or indirectly, for any
of the following individuals, organizations, or entities to indemnify the MA organization
against any civil liability for damage caused to an enrollee as a result of the MA
organization’s denial of medically necessary care:
1. A physician or health care professional;
2. Provider of services;
3. Other entity providing health care services; and
4. A Group of such professionals, providers, or entities.
(Source: 42 CFR 422.212.)