MA organization

The published text, quoted as written, with its citation.

MA organization means a public or private entity organized and licensed by a State as a risk-bearing entity (with the exception of provider-sponsored organizations receiving waivers) that is certified by CMS as meeting the MA contract requirements.

As defined in Patient Access and Provider Directory APIs, 42 CFR 422.2, issued by Centers for Medicare & Medicaid Services

Rules that use this term

Patient Access and Provider Directory APIs42 CFR 431.60 and 422.119 · binds Medicaid agencies and Medicare Advantage organizations

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