Medicare Program; Definition of Provider-Sponsored Organization and Related Requirements
medicare · Centers for Medicare and Medicaid Services · Rule · Published 1998-04-14 · 63 FR 18124
Document
Document number
98-9810
Federal Register citation
63 FR 18124
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
1998-04-14
HHS docket
HCFA-1027-IFC
Abstract
The Balanced Budget Act of 1997 establishes a new Medicare+Choice program that significantly expands the health care options available to Medicare beneficiaries. Under this program, eligible individuals may elect to receive Medicare benefits through enrollment in one of an array of private health plans that contract with HCFA. Among the new options available to Medicare beneficiaries is enrollment in a provider-sponsored organization (PSO). This interim final rule with comment period defines the term ``provider-sponsored organization'' for purposes of the Medicare program and establishes requirements related to meeting this definition. We believe that setting forth the definition of a PSO and the related requirements will facilitate the submission of applications to participate in the Medicare program as a PSO.