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Medicare Managed Care Eligibility and Enrollment

Overview

This page contains information for current and future contracting Medicare Advantage (MA) Organizations, other health plans, and other parties interested in the operational and regulatory aspects of Medicare health plan enrollment and disenrollment.  This page also provides MA enrollment and disenrollment guidance for plans. 

2010 Medicare Advantage & 1876 Cost Plan Enrollment & Disenrollment Guidance

The CMS has released updates to the existing enrollment and disenrollment guidance for Medicare Advantage (MA) Plans and 1876 Cost Plans.  Also provided is a summary of changes for each document.  This updated guidance is effective for contract year 2010.  All enrollments with an effective date on or after January 1, 2010, must be processed in accordance with the revised guidance requirements, including new model enrollment forms and notices provided within the guidance.  Organizations may, at their opinion, implement any aspect of this guidance (e.g., new model forms/notices) prior to the required implementation date.

Note: To locate the updated guidance from the list of documents below, look for the link names which include the date "August 19, 2009" to ensure you select the correct links.

 

Downloads

FINAL MA Enrollment and Disenrollment Guidance Update for CY 2010 - August 19, 2009 [PDF, 1.7MB]

Summary of FINAL MA Enrollment and Disenrollment Guidance Update for CY 2010 - August 19, 2009 [PDF, 111KB]

FINAL Cost Plan Enrollment and Disenrollment Guidance Update for CY 2010 - August 19, 2009 [PDF, 669KB]

Summary of FINAL Cost Plan Enrollment and Disenrollment Guidance Update for CY 2010 - August 19, 2009 [PDF, 46KB]

MA Enrollment and Disenrollment Guidance Update for CY 2009 - July 16, 2008 FINAL [PDF, 930KB]

Summary of MA Enrollment and Disenrollment Guidance Update for CY 2009 - July 16, 2008 [PDF, 66KB]

Encouraging Early-in-Month Enrollments Tip Sheet [PDF, 40Kb]

 

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Page Last Modified: 08/18/2009 4:40:17 PM
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