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Medicare Advantage Applications

Overview

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 MA Network Adequacy Criteria Overview [pdf, 60Kb]

HSD Criteria Reference Tables [zip, 761Kb]

HSD Criteria Exceptions Guidance [pdf, 58Kb]

2010 Part C Medicare Advantage Applications [zip, 322Kb]

2010 Part C Employer Group Medicare Advantage Applications [zip, 52Kb]

Revised Payment Information Form for all Medicare Managed Care Contract Applications [pdf, 106KB]
Related Links Inside CMS
2010 Combined Call Letter

Managed Care Marketing
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Page Last Modified: 11/19/2009 2:12:44 PM
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