chronically ill enrollee

(iii)In this subparagraph, the term “chronically ill enrollee” means an enrollee in an MA plan that the Secretary determines— (I)has one or more comorbid and medically complex chronic conditions that is life threatening or significantly limits the overall health or function of the enrollee; (II)has a high risk of hospitalization or other adverse health outcomes; and (III)requires intensive care coordination.


42 USC § 1395w-22(a)(3)(D)(iii)

Scoping language

In this subparagraph
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