Chronically ill enrollee defined
In this subparagraph, the term “chronically ill enrollee” means an enrollee in an MA plan that the Secretary determines—
(I)#
has one or more comorbid and medically complex chronic conditions that is life threatening or significantly limits the overall health or function of the enrollee;
(II)#
has a high risk of hospitalization or other adverse health outcomes; and
(III)#
requires intensive care coordination.