Medicare Advantage Program and Supporting Regulations (CMS-R-267)

Medicare Advantage (MA) organizations (formerly M+C organizations) and potential MA organizations (applicants) use the information collected based on the regulations at 42 CFR 422 to comply with the application requirements and the MA contract requirements. CMS uses the information collected based on the regulations at 42 CFR 422 to approve contract applications, monitor compliance with contract requirements, make proper payment to MA organizations, determine compliance with the new prescription drug benefit requirements established by the MMA, and to ensure that correct information is disclosed to Medicare beneficiaries, both potential enrollees and enrollees.

The latest form for Medicare Advantage Program and Supporting Regulations (CMS-R-267) expires 2021-12-31 and can be found here.

Medicare Advantage Program and Supporting Regulations (MAOs)

Federal Enterprise Architecture: Health - Health Care Services