42 CFR 422.53 – Eligibility to elect an MA plan for senior housing facility residents
Current as of: 2024 | Check for updates
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(a) Basic eligibility requirements. To be eligible to elect an MA senior housing facility plan, the individual must meet both of the following:
(1) Be a resident of an MA senior housing facility defined in § 422.2.
(2) Be eligible to elect an MA plan under § 422.50.
(b) Restricting enrollment. An MA senior housing facility plan must restrict enrollment to only those individuals who reside in a continuing care retirement community as defined at § 422.133(b)(2).
(c) Establishing eligibility for enrollment. An MA senior housing facility plan must verify the eligibility of each individual enrolling in its plan using a CMS approved process.