This page provides important information on the application process for Part C Medicare Advantage plans (HMO/HMOPOS, PPO, RPPO, PFFS, MSA, EGWP and SNP). Please use the Medicare Prescription Drug link in the "Related Links Inside CMS" section below to access Medicare Prescription Drug application materials.

Medicare Contract Applications - Organizations that are interested in applying for a Medicare Advantage contract can download and complete the appropriate application. 

***All Medicare Advantage applicants must download the payment information form below and submit it with their application.

Downloads
2011 Part C MA Application [zip, 1.2Mb] HSD Webinar Training Slides - 12/17/2009, [pdf, 1.1Mb] HSD Criteria Release Memo [pdf, 61Kb] 2011 MA Network Adequacy Criteria Overview [pdf, 60Kb] HSD Criteria Reference Tables [zip, 673Kb] HSD Criteria Exceptions Guidance [pdf, 58Kb] Revised Payment Information Form for all Medicare Managed Care Contract Applications [pdf, 106KB]
Related Links Inside CMS
Managed Care Marketing Medicare Advantage Prescription Drug Contracting
Related Links Outside CMS
There are no Related Links Outside CMS

Page Last Modified: 01/04/2010 11:59:00 PM
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