COVID-19 for Compliance Professionals: Medicare Advantage Plans

Generally, Medicare Advantage Organizations (MAOs) maintain provider networks and either limit an enrollee’s ability to obtain Medicare-covered services from out-of-network providers or charge enrollees more when they receive services from out-of-network providers.

On March 10, 2020, CMS released guidance for MAOs (as well as for Part D sponsors) regarding certain obligations as well as permitted flexibilities related to disasters and emergencies resulting from COVID-19.