2010 Chart for New EGWP Applicants _FINAL

2010 Summary Instructions - Employer/Union-Only Group Waiver Plan (EGWP) Applicants January 6, 2009

New Employer/Union Direct Contract Applicants

New Applicant or Existing Contractor	Applicant/Plan Type	Number and Type of EGWP Application(s) Required	Number and Type of Individual Plan Application(s) Required
New	Direct PDP	(1) Direct Contract PDP	(1) PDP
New	Direct MA-Only Private Fee-For-Service (PFFS)	(1) Direct Contract MA PFFS	(1) MA
New	Direct MA-PD PFFS	(2) Direct Contract MA PFFS + Direct Contract MA-PD	(2) MA + MA-PD

PDPs, MAOs and Cost Plan Sponsors Applying to Offer New “800 series” EGWPs

(The same applications are required for “800 Series Only” Contracts)

New Applicant or Existing Contractor	Applicant/Plan Type	Number and Type of EGWP Application(s) Required	Number and Type of Individual Plan Application(s) Required
New	PDP	(1) PDP EGWP	(1) PDP
New	MAOs offering MA-Only plans (PFFS, RPPO, Local CCP, Regular or Demo MSA MA plans)	(1) MAO EGWP	(1) MA
New	MAOs offering MA-PD plans (Not available for MSAs)	(1) MAO EGWP	(2) MA + MA-PD
Existing	PDP - adding EGWPs	(1) PDP EGWP	N/A
Existing	MAO (all types) - adding EGWPs	(1) MAO EGWP	N/A
Existing	Cost Plan – adding EGWPs	(1) Cost EGWP	N/A