MA MSA plan
(i) MA MSA plan means a plan that (A) Pays at least for the services described in 422.101, after the enrollee has incurred countable expenses (as specified in the plan) equal in amount to the annual deductible specified in 422.103(d); (B) Does not permit prior notificationthat is, a reduction in the plan's standard cost-sharing levels when the provider from whom an enrollee is receiving plan-covered services voluntarily notifies the plan prior to furnishing those services, or the enrollee voluntarily notifies the MSA plan prior to receiving plan-covered services from a provider; and (C) Meets all other applicable requirements of this part. (ii) MA MSA means a trust or custodial account (A) That is established in conjunction with an MSA plan for the purpose of paying the qualified expenses of the account holder; and (B) Into which no deposits are made other than contributions by CMS under the MA program, or a trustee-to-trustee transfer or rollover from another MA MSA of the same account holder, in accordance with the requirements of sections 138 and 220 of the Internal Revenue Code. (3) MA private fee-for-service plan. An MA private fee-for-service plan is an MA plan that (i) Pays providers of services at a rate determined by the plan on a fee-for-service basis without placing the provider at financial risk; (ii) Subject to paragraphs (a)(3)(ii)(A) and (B) of this section, does not vary the rates for a provider based on the utilization of that provider's services; and (A) May vary the rates for a provider based on the specialty of the provider, the location of the provider, or other factors related to the provider that are not related to utilization and do not violate 422.205 of this part. (B) May increase the rates for a provider based on increased utilization of specified preventive or screening services. (iii) Does not restrict enrollees' choices among providers that are lawfully authorized to provide services and agree to accept the plan's terms and conditions of payment. (iv) Does not permit prior notificationthat is, a reduction in the plan's standard cost-sharing levels when the provider from whom an enrollee is receiving plan-covered services voluntarily notifies the plan prior to furnishing those services, or the enrollee voluntarily notifies the PFFS plan prior to receiving plan-covered services from a provider.