Quarterly Provider Updates
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| File Name |
CMS-4023-FN |
| Subject |
Application by the AAAHC, Inc. for Approval of Deeming Authority for M+C Organizations That Are Licensed as an HMO or a PPO |
| Publication/Implementation Date |
06/28/2002 |
| Quarterly Release Date |
04/01/2002 |
| Provider Type |
Medicare+Choice |
| Type of Regulation |
Regulations Published This Quarter |
| Regulation Summary |
This final notice announces the approval of the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC) for deeming authority of Medicare+Choice (M+C) organizations that are licensed as health maintenance organizations (HMOs) or preferred provider organizations (PPOs). We have found that the AAAHC's standards for managed care plans submitted to us and amended during the application process, meet or exceed those established by the Medicare program. Therefore, M+C organizations that are licensed as HMOs or PPOs and are accredited by AAAHC may receive, at their request, deemed status for the M+C requirements in the six areas--Quality Assurance, Information on Advance Directives, Antidiscrimination, Access to Services, Provider Participation Rules, and Confidentiality and Accuracy of Enrollee Records--that are specified in section 1852(e)(4)(B) of the Social Security Act (the Act). Regulations set forth in 422.157(b)(2) specify that the Secretary will publish a Federal Register notice that indicates whether an accreditation organization's request for approval has been granted and the effective date and term of the approval, which may not exceed 6 years. |
| Additional Information |
N/A |
| | Downloads |
CMS-4023-FN
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Last Modified Date : 05/04/2006
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