Chapter 4, “Benefits and Beneficiary Protections”
The CMS Final Rule, 4085-F was published in the Federal Register (75) on April 15, 2010. Based on the content of this Final Rule, CMS issued, through the HPMS system, on April 16, 2010, a memo, “Part C benefits policy and operations guidance for Contract Year 2011,” providing guidance to the Medicare Advantage Organizations. This manual update mainly incorporates these regulatory and HPMS guidances into the manual chapter. Other recent changes, such as Call Letter guidance on clinical trials, or improved crosswalk guidance were also added.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 03, 2010
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.