Medicare Managed Care Manual - CMS

Medicare Managed Care Manual Chapter 11 - Medicare Advantage Application Procedures and Contract Requirements (Rev. 83, 04-25-2007) NOTE: This chapter addresses Medicare Advantage contract requirements only, and does not address Medicare cost-based Managed care contract requirements. Information on Medicare cost-based contract requirements can be found in Chapter 17. Table of Contents Transmittals for Chapter 1101 - Introduction 10 - Definitions 20 - General Medicare Advantage Application and Contract Provisions - Application Procedures and Conditions for Entering an MA - Evaluation and Determination of Applications - Monitoring and Promoting Staff and Affiliated Provider Compliance with Policies 30 - Minimum Enrollment Requirements for MA Organizations - Minimum Enrollment Waiver 40 - Term and Effective Date of an MA Contract 50 - Contracting Prohibitions Under the Medicare Advantage (MA) Program 60 - MA Contract Renewal - MA Contracts are Automatically Renewed70 - Contract Nonr

First-Tier and Downstream Entities 110.1 - General Requirements 110.2 - Delegation Requirements 110.3 - MA Oversight and Beneficiary Protection Guidance 110.4 - Policies and Procedures for Assessing Contracting Provider Groups' Administrative and Fiscal Capacity to Manage Financial Risk 110.4.1 - Access to and Continuity of Care

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