§422.53. Eligibility to elect an MA plan for senior housing facility residents.
42 C.F.R. § 422.53
Basic eligibility requirements. To be eligible to elect an MA senior housing facility plan, the individual must meet both of the following:
Be a resident of an MA senior housing facility defined in § 422.2.
Be eligible to elect an MA plan under § 422.50.
Restricting enrollment. An MA senior housing facility plan must restrict enrollment to only those individuals who reside in a continuing care retirement community as defined at § 422.133(b)(2).
Establishing eligibility for enrollment. An MA senior housing facility plan must verify the eligibility of each individual enrolling in its plan using a CMS approved process.
Notes, amendments, and revision history
Amendments
[76 FR 21561, Apr. 15, 2011]
Source
Source: 63 FR 35071, June 26, 1998, unless otherwise noted.
Authority
Authority: 42 U.S.C. 1302, 1306, 1395w-21 through 1395w-28, and 1395hh.
Source
Source: 63 FR 18134, Apr. 14, 1998, unless otherwise noted.
Amendments
[76 FR 21561, Apr. 15, 2011]