GroundRules
42 CFR 422.53: Eligibility to elect an MA plan for senior housing facility residents.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—MEDICARE PROGRAM
- PART 422—MEDICARE ADVANTAGE PROGRAM
- Subpart B—Eligibility, Election, and Enrollment
(a) Basic eligibility requirements. To be eligible to elect an MA senior housing facility plan, the individual must meet both of the following:
(1) Be a resident of an MA senior housing facility defined in § 422.2.
(2) Be eligible to elect an MA plan under § 422.50.
(b) Restricting enrollment. An MA senior housing facility plan must restrict enrollment to only those individuals who reside in a continuing care retirement community as defined at § 422.133(b)(2).
(c) Establishing eligibility for enrollment. An MA senior housing facility plan must verify the eligibility of each individual enrolling in its plan using a CMS approved process.
Collected 2026-08-27T02:26:11Z. Source file · JSON