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Updates to Chapter 1, “General Provisions”

This transmittal describes the revisions made to
Chapter 1, General Provisions. The revisions that were made include the addition of
definitions for ‘Employer Group Health Plan’ and ‘Employer/Union-Only Group Waiver
Plan’; clarification of the definitions for ‘Institutionalized’ and ‘Special Needs Plans’ and
clarification of when cost plans would receive non-renewal notices. Several references to
other chapters of the Medicare Managed Care Manual have also been updated.

Download the Guidance Document

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

Issue Date: April 25, 2007

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.