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Form CMS-36 P (7/02)) 7/22/02 12:31 PM Page 1 ADDRESS CONSENT FOR HOME VISIT FOR PACE SERVICES EVALUATION DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES BENEFICIARY
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What is form cms-36 p 702?
Form CMS-36 P 702 is a form used by the Centers for Medicare & Medicaid Services (CMS) to collect information on provider network adequacy. It is used to determine whether Medicare beneficiaries have access to an adequate number of providers within their geographic area.
Who is required to file form cms-36 p 702?
Medicare Advantage Organizations (MAOs) are required to file Form CMS-36 P 702. This form is used to assess the adequacy of the provider networks offered by MAOs.
How to fill out form cms-36 p 702?
Form CMS-36 P 702 contains several sections that need to be completed. The form requires information on the MAO's provider network, including the number of contracted providers, the geographic area served, and the types of providers included in the network. MAOs must also provide information on the methodologies used to assess network adequacy.
What is the purpose of form cms-36 p 702?
The purpose of Form CMS-36 P 702 is to ensure that Medicare beneficiaries have access to an adequate number of healthcare providers. It is used by CMS to assess the adequacy of the provider networks offered by MAOs and to identify any gaps in network coverage.
What information must be reported on form cms-36 p 702?
Form CMS-36 P 702 requires MAOs to report information on their provider network, including the number of contracted providers, the geographic area served, and the types of providers included in the network. MAOs must also provide information on the methodologies used to assess network adequacy.
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