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picture1_Contract Template Pdf 149946 | Mc86c16b


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File: Contract Template Pdf 149946 | Mc86c16b
Medicare Managed Care Manual Chapter 16-B: Special Needs Plans Table of Contents (Rev. 123, Issued: 08-19-16) 10 – Introduction 10.1 – General 10.2 – Statutory and Regulatory History ...

icon picture PDF Filetype PDF | Posted on 14 Jan 2023 | 2 years ago

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...Medicare managed care manual chapter b special needs plans table of contents rev issued introduction general statutory and regulatory history requirements payment procedures description snp types chronic condition snps list conditions grouping cms approved group commonly co morbid clinically linked mao customized multiple hierarchical categories risk adjustment for c dual eligible state contract d relationship to medicaid agencies cost sharing with or without zero dollar eligibles requiring an institutional level fully integrated application frailty fide benefit flexibility certain eligibility characteristics flexible supplemental benefits approval process equivalent change residence requirement i serving long term facility residents service area expansion model existing re submissions enrollment verification assessment waiver enroll individuals esrd continued when enrollee loses status election period enrollees losing disenroll from open institutionalized renewal options crosswalks no...
								

							

						
	
												
				
					
					
					
			
					
				
				
		
	

	
		





	

	
				

						

						
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										Category:  Uncategorized / Uncategorized 
										
Posted on: 14 Jan 2023 | 2 years ago
										
										
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