US · guidance
CMS Pub. 100-16, ch. mc86c16b, § 20.2.10.1.3
Other Considerations
Each D-SNP must, upon request from CMS, provide documentation demonstrating its compliance
with 42 CFR 422.562(a)(5).
The obligation to provide assistance under 42 CFR 422.562(a)(5)(i) does not create an obligation for
a D-SNP to represent an enrollee in a Medicaid appeal. Further, it does not include a requirement to
resolve the coverage issue.
History
(Rev. 131; Issued: 11-22-24; Effective: 11-22-24; Implementation: 11-22-24)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
3a9000ed14ea4eee46eaa4a4711615b154e9e320d0808106d95721ff37761934
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