US · guidance
CMS Pub. 100-16, ch. 7, § 70.2
CMS-HCC Risk Adjustment Model
The CMS-HCC risk adjustment model is used to calculate risk scores for aged/disabled
beneficiaries and is used in bidding and payment for Part A and B benefits, under the Part
C program. In this section, CMS will discuss in detail the specific characteristics of the
CMS-HCC risk adjustment model.
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
823baf5cc907fd9287d107ecd63ea5e4b84f226576ca207790c3fc500b1e46a2
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