Medicare program; waiver requirements and solvency standards for provider-sponsored organizations--HCFA. Interim final rule with comment period.
This interim final rule with a request for comments implements authority to waive, in the case of provider-sponsored organizations (PSOs) that meet certain criteria, the requirement that Medicare + Choice organizations be licensed by a State as risk-bearing entities. The waivers will be approved only under certain conditions where the State has denied or failed to act on an application for licensure. This rule also establishes solvency standards that certain entities must meet to contract as PSOs under the new Medicare + Choice program. These standards apply to PSOs that have received a waiver of the requirement that Medicare + Choice organizations be licensed by a State as risk-bearing entities.
D014487:Centers for Medicare and Medicaid Services, U.S.; D019058:Community Networks / Q000191:economics* / Q000331:legislation & jurisprudence; D016536:Competitive Medical Plans / Q000191:economics / Q000331:legislation & jurisprudence; D003284:Contract Services / Q000331:legislation & jurisprudence; D006279:Health Maintenance Organizations / Q000191:economics / Q000331:legislation & jurisprudence; D008004:Licensure / Q000331:legislation & jurisprudence; D016345:Medicare Part B / Q000331:legislation & jurisprudence*; D014481:United States