Medicare Program; Waiver Requirements and Solvency Standards for Provider-Sponsored Organizations
medicare · Centers for Medicare and Medicaid Services · Rule · Published 1998-05-07 · Effective 1998-06-08 · 63 FR 25360
Document
Document number
98-12058
Federal Register citation
63 FR 25360
CFR reference
42 CFR 422
Type
Rule
Action
Interim final rule with comment period.
Category
medicare
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
1998-05-07
Effective date
1998-06-08
HHS docket
HCFA-1011-IFC
Abstract
This interim final rule with a request for comments implements authority to waive, in the case of provider-sponsored organizations (PSOs) that meet certain criteria, the requirement that Medicare+Choice organizations be licensed by a State as risk-bearing entities. The waivers will be approved only under certain conditions where the State has denied or failed to act on an application for licensure. This rule also establishes solvency standards that certain entities must meet to contract as PSOs under the new Medicare+Choice program. These standards apply to PSOs that have received a waiver of the requirement that Medicare+Choice organizations be licensed by a State as risk-bearing entities.