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US · guidance

CMS Pub. 100-16, ch. 9, § 10.7

CMS EGWP Part C Payment

activein force · 2026-08-25 – presentas-observed

MAOs offering EGWPs will be paid in the same manner as they are paid for their non-group MA

plans. Note that Part C Regional PPO EGWP bids are included in the calculation of the MA

regional benchmark calculations.

History

(Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
c538b0813eabd42b46b8ce7fa73fa71401ee7499d8d926d038aeb98530f53b1e
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