New MA plan

New MA plan means a plan that meets the following:
(1) Offered under a new MA contract.
(2) Offered under an MA contract that is held by a parent organization defined at ยง 422.2 that has not had an MA contract in the prior 3 years. For purposes of this definition, the parent organization is identified as of April of the calendar year before the payment year to which the final QBP rating applies, and contracts associated with that parent organization are also evaluated using contracts in existence as of April of the 3 calendar years before the payment year to which the final QBP rating applies. For purposes of 2022 quality bonus payments based on 2021 Star Ratings only, new MA plan means an MA contract offered by a parent organization that has not had another MA contract in the previous 4 years.

Source

42 CFR § 422.252


Scoping language

None
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