Medicare Advantage Applications
This page provides important information on the application process for Part C Medicare Advantage plans (HMO/HMOPOS, PPO, RPPO, PFFS, MSA, EGWP and SNP). Please use the Medicare Prescription Drug link in the “Related Links Inside CMS” section below to access Medicare Prescription Drug application materials.
Medicare Contract Applications - Organizations that are interested in applying for a Medicare Advantage contract can download and complete the appropriate application.
All Medicare Advantage applicants must download the payment information form below and submit it with their application.
- CY 2014 Part C Application (Updated 01-24-13) [ZIP, 2MB]
- CY2014 HSD HPMS GUIDANCE MEMO 12-13-12 [PDF, 34KB]
- CY2014 HSD Provider and Facility Specialties Criteria Guidance(v2) [PDF, 164KB]
- CY2014_HSD_Reference_File [ZIP, 1MB]
- Revised Payment Information Form for all Medicare Managed Care Contract Applications [PDF, 15KB]
- 2007_Essential_Hospital_Memo [PDF, 22KB]
- Page last Modified: 04/09/2013 12:09 PM
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