US · guidance
CMS Pub. 100-16, ch. 9, § 30.8
Simultaneous Enrollment in an MA Local or Regional Coordinated
Care Plan and a Stand-Alone PDP
(Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13)
Members of 800-series regional PPO EGWPs and local coordinated care plan EGWP enrollees
may enroll in 800-series stand-alone PDPs, provided that separate medical and prescription drug
vendors work closely together with the employer/union sponsor to provide coordinated care and
disease management services between the MA and the PDP portion of the benefit. Prior to
extending this waiver to regional coordinated care EGWPs, simultaneous enrollment in MA
plans and PDPs was limited to local coordinated care plan enrollees.
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
b7d1b2929e9619d6fbe414227e7d22ca0f938e6e2b53eafbee8fd7ed9151dd30
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.