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Downloads Chapter 1 - General Provisions [PDF, 105 KB] Chapter 2 - Click here for Enrollment and Disenrollment Instructions [PDF, 754 KB] Chapter 3 - Click here for Marketing Guides Instructions Chapter 4 - Benefits and Beneficiary Protections [PDF, 249 KB] Chapter 5 - Quality Assessment [PDF, 447 KB] Chapter 6 - Relationships With Providers [PDF, 146 KB] Chapter 7 - Payments to Medicare+Choice Organizations Chapter 8 - Payments to Medicare Advantage Organizations [PDF 236 KB] Chapter 9 - Employer/Union Sponsored Group Health Plans [PDF, 575KB] Chapter 10 - MA Organization Compliance with State Law and Preemption by Federal Law [PDF, 32 KB] Chapter 11 - Medicare Advantage Application Procedures and Contract Requirements [PDF, 294 KB] Chapter 12 - Effect of Change of Ownership [PDF, 75 KB] Chapter 13 - Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (HCPPs), (collectively referred to as Medicare Health Plans) [PDF, 275 KB] Chapter 14 - Contract Determinations and Appeals [PDF, 74 KB] Chapter 15 - Intermediate Sanctions [PDF, 57 KB] Chapter 16 - Reserved Chapter 17 - Cost Based Payment              17a - Subchapter A - TEFRA Cost Based Payment Processes and Principles [PDF, 132 KB]              17b - Subchapter B - Payment Principles for Cost Based HMOs and CMPs [PDF, 283 KB]              17c - Subchapter C - Cost Apportionment for Cost Based HMOs and CMPs [PDF, 60 KB]                      17d - Subchapter D - Medicare Cost Plan Enrollment and Disenrollment Instructions [PDF, 381 KB]              17f - Subchapter F - Benefits and Beneficiary Protections [PDF, 227 KB] Chapter 18 - Health Care Prepayment Plans              18a - Subchapter A - Cost-Based Payment Process and Principles [PDF, 100 KB]              18b - Subchapter B - Payment Principles for Cost Based HMOs and CMPs [PDF, 234 KB]              18c - Subchapter C - Cost Apportionment for Cost-Based HMO/CMPs [PDF, 145 KB]     Chapter 19 - The Enrollment and Payment User's Guide-Available Spring 2009  Chapter 20 - Plan Communications Guide-Available Spring 2009          Related Links Inside CMS Part C Marketing Guide Lines Related Links Outside CMS There are no Related Links Outside CMS

Last Modified Date : 12/18/2008
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