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https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/FinancialAlignmentInitiative/MMPInformationandGuidance/Downloads/HSDNetworkSubmissionInstructionsCY2019.pdf
MMPs and MN Senior Health Options D-SNPs must submit HSD tables for the service area reflected in the CMS Health Plan Management System (HPMS). This requires MMPs with counties that they have not been deemed ready to market and enroll beneficiaries but that still appear in HPMS to upload the MMP network for those pending counties.File Size: 684KB
https://www.cms.gov/Medicare/Medicare-Advantage/MedicareAdvantageApps/Downloads/MA_Network_Adequacy_Criteria_Guidance_Document_1-10-17.pdf
Jan 10, 2017 · that would ensure access to covered healthcare services. CMS identifies provider and facility specialty types critical to providing services through a consideration of: Medicare Fee-for-service (FFS) utilization patterns, Utilization of provider/facility specialty types in …
https://www.cms.gov/Medicare/Medicare-Advantage/MedicareAdvantageApps/Downloads/CY2013_HSD_Provider_Facility_Specialties_Criteria_Guidance_111011.pdf
Services (058) and Intestinal Transplant Program (063) While applicants must ensure that beneficiary have reasonable access to these covered services, it is no longer required that they be reported to CMS on the MA Facility table: • Applicants are required to use the Exception Request Template when submitting an Exception Request.
https://www.faegredrinker.com/en/insights/publications/2017/8/in-removing-hsd-tables-from-applications-cms-opens-the-door-to-medicare-advantage-growth
Aug 29, 2017 · Health plans seeking to participate in the Medicare Advantage (MA) program for the first time or expanding their service area must file an application with CMS. Although the application contains many types of information, the most formidable requirement is the submission of Health Service Delivery (HSD) tables, by which the MA applicant must show that its provider network meets CMS’s …
https://www.cms.gov/Medicare/Health-Plans/HealthPlansGenInfo/Part-C-HPMS-Guidance-History-Items/CMS1254022
Release of CY2013 Medicare Advantage Health Services Delivery Guidance & Reference Tables Member of Group(s) ... on Mon, 11/04/2019 - 02:28. Title. Release of CY2013 Medicare Advantage Health Services Delivery Guidance & Reference Tables ... paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244.
https://www.cms.gov/Medicare/Medicare-Advantage/MedicareAdvantageApps/downloads/Technical_HSD_Training_Slides.pdf
The HSD Criteria Reference Tables may be found on the CMS website and on HPMS on the Online Application screen. Note: If a provider serves beneficiaries from multiple counties in the service area, list the provider multiple times on the MA Provider Table in …File Size: 1MB
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