Specified MA plan is defined
What the document says“``(C) Specified ma plan.--In this paragraph, the term `specified MA plan' means-- ``(i) a network-based plan (as defined in subsection (d)(5)(C)); or”
The new paragraph defines specified MA plan as a network-based plan as defined in section 1852(d)(5)(C), or a Medicare Advantage private fee-for-service plan under section 1859(b)(2) that meets the access standards in subsection (d)(4), in whole or in part, through contracts or agreements.
What the document actually says“``(C) Specified ma plan.--In this paragraph, the term `specified MA plan' means-- ``(i) a network-based plan (as defined in subsection (d)(5)(C)); or”
In this part, the words specified MA plan mean one of two kinds of plan. The first is a plan built on a group of doctors.
The letters MA stand for a private plan that stands in for the public one. The rules here cover only plans that work through a group of doctors.
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