except as provided in clause (ii), a Medicare Advantage plan that is a coordinated care plan described in section 1395w–21(a)(2)(A)(i) of this title ;

(II)#

a network-based MSA plan; and

(III)#

a reasonable cost reimbursement plan under section 1395mm of this title .

Exclusion of non-network regional PPOS →

in view

Whole section

▸citations (2)

References

This rule cites 2 other rules.

42 USC § 1395winferredUS Federal › Statutes › Title 42 › § 1395w
42 USC § 1395mminferredUS Federal › Statutes › Title 42 › § 1395mm

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(I)
(II)
(III)

Axiom
US Federal
Statutes
Title 42
§ 1395w–22
(d)
(5)
(C)
(i)

In general

Official source

For purposes of subparagraph (B), the term “network-based plan” means—

(I)#

except as provided in clause (ii), a Medicare Advantage plan that is a coordinated care plan described in section 1395w–21(a)(2)(A)(i) of this title ;

(II)#

a network-based MSA plan; and

(III)#

a reasonable cost reimbursement plan under section 1395mm of this title .

Exclusion of non-network regional PPOS →

in view

Whole section

▸citations (2)

References

This rule cites 2 other rules.

42 USC § 1395winferredUS Federal › Statutes › Title 42 › § 1395w
42 USC § 1395mminferredUS Federal › Statutes › Title 42 › § 1395mm