Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.8

Simultaneous Enrollment in an MA Local or Regional Coordinated

Length: 101 wordsOfficial source
30.8 - Simultaneous Enrollment in an MA Local or Regional Coordinated Care Plan and a Stand-Alone PDP (Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13) Members of 800-series regional PPO EGWPs and local coordinated care plan EGWP enrollees may enroll in 800-series stand-alone PDPs, provided that separate medical and prescription drug vendors work closely together with the employer/union sponsor to provide coordinated care and disease management services between the MA and the PDP portion of the benefit. Prior to extending this waiver to regional coordinated care EGWPs, simultaneous enrollment in MA plans and PDPs was limited to local coordinated care plan enrollees.
Medicare Managed Care Manual (Pub. 100-16), Ch. 9 § 30.8: Simultaneous Enrollment in an MA Local or Regional Coordinated | Justis AI