Rebatable integrated benefits

Rebatable integrated benefits means those non-drug supplemental benefits that are funded through beneficiary rebates (described at 422.266(1)) and that CMS determines are additional health benefits not covered under the original Medicare program option and that require expenditures by the plan. For purposes of the calculation of risk corridors, these are the only supplemental benefits that count toward allowable costs.


42 CFR § 422.458

Scoping language

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