US · guidance
CMS Pub. 100-16, ch. 7, § 10
Introduction
This manual chapter addresses the policies and operations related to the data collection for,
calculation of, and use of risk scores in Part C and Part D payments through 2011. For detailed
information on payment policies and formulas, refer to Chapter 8 for Part C payment (a chapter
for Part D payment is forthcoming). CMS risk adjusts Part C payments made to Medicare
Advantage (MA) plans and Program of All Inclusive Care for The Elderly (PACE)
organizations, and Part D payments made to Part D sponsors, including Medicare Advantage-Prescription Drug plans (MA-PDs) and standalone Prescription Drug Plans (PDPs).
History
(Rev. 114, Issued; 06-07-13, Effective: 06- 07-13, Implementation: 06-07-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
4ec6006294211b48f96c84be71568eb07b551842d17a411813492bffaadd7bf4
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