Medicare Advantage Quality Improvement Program
Guidance for the Quality Improvement program requirements and relevant HPMS memos and resource information.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: January 01, 2020
This webpage contains information related to the MA Quality Improvement program. Within this site, we provide the Quality Improvement program requirements and relevant HPMS memos and resource information.
The Quality Improvement program requirements for MA organizations are described in 42 CFR 422.152. Guidance may also be found in the CCIP Resource Document and in Chapter 5 of the Medicare Managed Care Manual. Both are available as downloads below.
For further information on this topic, please submit an inquiry to the Medicare Part C Policy Mailbox, located at: https://dpap.lmi.org.
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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.