US · guidance
CMS Pub. 100-16, ch. mc86c17d, § 30.2
Effective Date of Enrollment in Cost Plans
A Medicare cost plan may choose between the following two Enrollment Effective date
options:
1. Cost Plan Enrollment Effective Date Option 1: Follow the traditional cost plan
effective date rules found below as Enrollment Effective Date Option 1 (§30.2.1)
- OR -
2. Cost plan Enrollment Effective Date Option 2: Follow the effective date policy
for enrollment outlined below as Enrollment Effective Date Option 2 (§30.2.2).
The CMS will assume the organization will follow Cost Plan Enrollment Effective Date
Option 1 unless the organization notifies (or has notified) the appropriate CMS Regional
Office and includes this change in the policies and procedures provided to CMS.
Organizations offering Medicare cost plans will be expected to follow the chosen
enrollment effective date option throughout the contract year. The CMS may permit an
organization to change its enrollment effective date option during a contract year by
special request for good cause.
If the organization plans to change its selection of enrollment effective date options for a
new contract year, it must notify the appropriate CMS Regional Office.
History
(Rev. 38, 10-31-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
edcbb431fdb25022ed9ad79f589680356843bb554c8f1cd874681c5ba4419e79
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