From plan year 2028 a plan must keep an accurate public directory
What the document says“maintain, on a publicly available internet website, an accurate provider directory that includes the information described in subparagraph (B);”
Section 6220 adds a new paragraph (3) to section 1852(c) of the Social Security Act. For plan year 2028 and later, each Medicare Advantage organization offering a specified MA plan must keep an accurate provider directory on a publicly available website for each such plan.
What the document actually says“maintain, on a publicly available internet website, an accurate provider directory that includes the information described in subparagraph (B);”
The plan must keep a list of its doctors on a public website. The list must be right. It must hold the facts named below.
A plan pays less, or nothing, for a doctor outside its group. So a patient checks the list first. A wrong list can cost that patient money.
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