US · guidance
CMS Pub. 100-18, ch. 12, § 20.16.1
Governmental Entities
In general, in accordance with section 1860D-41(a)(13) of the Act, governmental entities are
not permitted to be PDP sponsors. However, CMS waived this prohibition for governmental
entities, such as for state retirement funds and municipal or local government plans, applying
to sponsor a Direct Contract EGWP for their retirees.
History
(Rev.6, Issued: 11-07-08, Effective/Implementation: 11-07-08)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-09-17
- Edition
- iom-2026-09-17
- Content hash
e9d0458633f2a1caea9e0f61bea8ea2513b8d5e0be508a6c6324055081d2ae29
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