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Model Enrollment Form Changes for Contract Year 2018

Guidance for the purpose of this memorandum is to provide technical edits to the model enrollment form exhibits in Chapters 2 and 17D of the Medicare Managed Care Manual and Chapter 3 of the Medicare Prescription Drug Benefit Manual to address the operational changes resulting from the shift from HICN to MBI.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: June 15, 2017

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.