Medicare Advantage v. 3.0 - Network Management (AA01-AA04, HA01, CC01-CC04, AD01, PR01-PR02)
The following pages provide a basic summary, management tips, and accreditation advice for the network management standards in URAC's Medicare Advantage, v. 3.0, module.
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AA01: ADEQUATE AND APPROPRIATE PROVIDER NETWORK
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AA02: ADEQUATE AND APPROPRIATE ACCESS TO CARE
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AA03: PCP PANEL ESTABLISHED AND MAINTAINED
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AA04: NECESSARY SPECIALTY CARE PROVIDED
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AD01: NO MEMBER DISCRIMINATION IN DELIVERY OF HEALTH CARE
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG CC01: CONTINUITY OF CARE THROUGH COMMUNITY ARRANGEMENTS
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG CC02: TIMELY COMMUNICATION OF CLINICAL INFORMATION
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG CC03: STANDARDS FOR MEMBER INPUT INTO TREATMENT PLAN/ADVANCE DIRECTIV
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG CC04: MEMBER HEALTH RECORD USES ESTABLISHED STANDARDS
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG HA01: INITIAL HEALTH ASSESSMENT CONDUCTED
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG PR01: PARTICIPATION AND TERMINATION PROCEDURES
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG PR02: CONSULTATION WITH PHYSICIANS AND SUBCONTRACTED PHYSICIAN GROUPS
- End of Medicare Advantage v. 3.0 - Network Management
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Medicare Advantage v. 3.0 - Network Management (AA01-AA04, HA01, CC01-CC04, AD01, PR01-PR02)
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AA01: ADEQUATE AND APPROPRIATE PROVIDER NETWORK
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AA02: ADEQUATE AND APPROPRIATE ACCESS TO CARE
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AA03: PCP PANEL ESTABLISHED AND MAINTAINED
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AA04: NECESSARY SPECIALTY CARE PROVIDED
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG AD01: NO MEMBER DISCRIMINATION IN DELIVERY OF HEALTH CARE
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG CC01: CONTINUITY OF CARE THROUGH COMMUNITY ARRANGEMENTS
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG CC02: TIMELY COMMUNICATION OF CLINICAL INFORMATION
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG CC03: STANDARDS FOR MEMBER INPUT INTO TREATMENT PLAN/ADVANCE DIRECTIV
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG CC04: MEMBER HEALTH RECORD USES ESTABLISHED STANDARDS
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG HA01: INITIAL HEALTH ASSESSMENT CONDUCTED
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG PR01: PARTICIPATION AND TERMINATION PROCEDURES
- Medicare Advantage Health Plan Module , Version 3.0 MA MRG PR02: CONSULTATION WITH PHYSICIANS AND SUBCONTRACTED PHYSICIAN GROUPS
- End of Medicare Advantage v. 3.0 - Network Management
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