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Medicare Managed Care Manual Chapter 16a Private Fee-for-Service

Chapter 16a is a new chapter in the Medicare Managed Care Manual that provides guidance specific to Private Fee-for-Service (PFFS) plans. We issued a draft of Chapter 16a for public comment on March 11, 2011, and considered those comments carefully as we finalized it. Chapter 16a also incorporates guidance from the Contract Year 2012 Rate Announcement and Final Call Letter, issued April 4, 2011.

Download the Guidance Document

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

Issue Date: May 27, 2011

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.