Medicare-Medicaid Plan Past Performance Reviews

Relevant to: MMPs

The Centers for Medicare & Medicaid Services (CMS) annually reviews the performance of all Medicare contractors. The methodology for this review is codified at 42 CFR §§ 422.502(b)(1) and 423.503(b)(1). The past performance review determines if CMS permits an organization to enter into a new contract or expand an existing contract.

See the full guidance for more information.