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Medicare Advantage Applications

Overview

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.

Downloads
2013 Part C Application [zip, 1.5Mb]

HSD Criteria Reference Tables 11/08/11 [zip, 2.3Mb]

HSD Guidance CY2013 11/10/11 [pdf, 147Kb]

HPMS Memo for HSD Guidance 11/10/11 [pdf, 68Kb]

Revised Payment Information Form for all Medicare Managed Care Contract Applications [pdf, 106KB]
Related Links Inside CMS
Managed Care Marketing

Medicare Advantage Prescription Drug Contracting
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

 

 

Page Last Modified: 01/10/2012 3:15:49 PM
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