ARC Advocacy Resources
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Contract Changes / Disputes
Coverage / Utilization Review
Title 42-Chapter 7-Subchapter XVIII-Part C. Medicare+Choice Program
42 USC Section 1395w-22
Benefits and beneficiary protections
Anti-gag clause-Med. Adv., Directories-Med. Adv., Liability-insurer shifting to physician-Med. Adv., Med. Adv.-Med. Nec. Appeals-Deadlines, Med. Adv.-Med. Nec. Decisions-Deadlines, Network Adequacy-Med. Adv., Prohibited financial incentives-Med. Adv., Risk-Physicians Taking-Med. Adv.
Ban on Medicare Advantage “No Cause” Network Terminations H-285.902
Directories-Med. Adv., Network Adequacy-Med. Adv., Termination-Med. Adv.