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Supplemental 2011 Benefits Policy and Operations Guidance on Application of the Mandatory Maximum Out-of-Pocket for Dual Eligible SNPs, and Cost Sharing for Preventive Services

Guidance for Medicare Advantage Organizations, 1876 Cost Plans, and Demonstrations regarding the application of the mandatory Out of Pocket Maximum (MOOP) for dual-eligible Special Needs Plans (D-SNPs) and preventive services cost sharing to supplement the memorandum entitled “Benefits Policy and Operations Guidance Regarding Bid Submissions; Duplicative and Low Enrollment Plans; Cost Sharing Standards; General Benefits Policy Issues; and Plan Benefits Package (PBP) Reminders for Contract Year (CY) 2011.”.

Download the Guidance Document

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

Issue Date: May 10, 2010

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