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)
The revisions to Chapter 13 reflect guidance provided to Medicare Advantage (MA) organizations since the last update to Chapter 13 in September 2007,changes made based on regulatory changes, and clarifications of existing policies.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 20, 2012
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.