2016 MTM Fact Sheet - Centers for Medicare and … webpages, beneficiaries found that it was often...
Transcript of 2016 MTM Fact Sheet - Centers for Medicare and … webpages, beneficiaries found that it was often...
-
2016 Medicare Part D Medication Therapy Management (MTM) Programs
Fact Sheet Summary of
2016 MTM Programs
May 4, 2016
-
Discussion Topics
Background Highlights from 2016 Call Letter Annual Review Characteristics of 2016 MTM Programs Summary
2
-
Background
Under 42 CFR 423.153(d), a Part D sponsor must establish an MTM program that:
Ensures covered Part D drugs are used to optimize therapeutic outcomes through improved medication use,
Reduces the risk of adverse events, Is developed in cooperation with licensed and
practicing pharmacists and physicians, May be furnished by pharmacists or other
qualified providers.
3
-
Highlights from 2016 Final Call Letter (1 of 3)
MTM Program Completion Rate for ComprehensiveMedication Reviews (CMR) measure was added to the Part DStar Ratings for 2016 as a process measure (given a weight of1).
The specifications used for the 2015 display measure will also be usedfor the 2016 Star Ratings measure.
Part C and Part D Star Ratings and Display Measures are posted at: http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/PerformanceData.html
2016 Call Letter is available at: http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2016.pdf
4
http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2016.pdfhttps://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/PerformanceData.htmlhttp://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2016.pdf
-
Highlights from 2016 Final Call Letter (2 of 3)
The MTM program annual cost threshold is updated for 2016 using the annual percentage increase of 11.76%, as specified in the Calendar Year (CY) 2016 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies. Therefore, the 2016 MTM program annual cost threshold is $3,507.
CMS is piloting program audit protocols in 2016, including compliance with Part D sponsors MTM programs.
5
-
Highlights from 2016 Final Call Letter (3 of 3)
We remind sponsors that our expectations for their MTM webpages are included in the annual MTM program guidance and submission instructions memo.
During a recent assessment of beneficiary experience using sponsors MTM webpages, beneficiaries found that it was often difficult for them to navigate to the MTM webpage using the search options and hyperlinks, sometimes requiring more than two clicks.
Increasing font sizes and using lay language will help beneficiaries to read and understand the content of the MTM webpage.
6
-
Annual Review (1 of 2)
A CMS-approved MTM program is one of several required elements in the development of a Medicare Part D sponsors bid.
Annually, sponsors must submit an MTM program description to CMS for review and approval in the Health Plan Management System (HPMS).
CMS evaluates each program description as part of a Part D quality improvement requirement (42 CFR 423.153(d)), to ensure that it meets the current minimum requirements for the program year (which are described throughout this Fact Sheet).
7
-
Annual Review (2 of 2)
In 2016, there are 623 Part D contracts with an approved MTM program. 495 Medicare Advantage prescription drug plans (MA-PDs). 67 stand-alone prescription drug plans (PDPs), including Employer
contract MTM programs. 61 Medicare-Medicaid Plans (MMPs).
All sponsors that are required to establish an MTM program have an approved program in place.
This analysis includes characteristics of 2016 MTM program applications approved during the annual review in Spring 2015 and changes approved during the September 2015 and April 2016 update windows as of April 8, 2016.
8
-
Eligibility Criteria Expanded Criteria
The CMS eligibility targeting requirements are established as theminimum threshold. Sponsors may also offer MTM services to anexpanded population of beneficiaries who do not meet the eligibility criteria under 423.153(d).
In 2016, almost 25% of MTM programs use expanded eligibilityrequirements beyond CMS minimum requirements. A slight increase compared to 24% of programs in 2015.
Table 1. Percent of 2016 MTM Programs with Expanded Eligibility Criteria
Eligibility Criteria Only target enrollees who meet the specified targeting criteria per CMS requirements
# of Programs
468
% of Programs
75.1%
Use Expanded Criteria: Target both enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
155 24.9%
Total 623 100.0% 9
Chronic Diseases
Percent of 2015 MTM Programs with a Minimum Number of multiple chronic disease
Figure 1
MA-PDPDPMMP
ALL CONTRACTSMA-PDsPDPsMMPsAll contractsMA-PDsPDPsMMPs
# of Diseases# of Programs% of Programs# of Programs% of Programs# of Programs% of Programs# of Programs% of Programs2 Diseases18.8%17.4%23.9%24.6%
211718.8%8617.4%1623.9%150.24590163933 Diseases81.2%82.6%76.1%75.4%
350681.2%40982.6%5176.1%460.7540983607100.0%100.0%100.0%100.0%
Chronic Diseases
2 Diseases
3 Diseases
Contract Type
% of Programs
Figure 1. Percent of 2016 MTM Programs with Minimum Number of Multiple Chronic Diseases
Top Diseases
Distribution by Specific Chronic Disease# of contracts623
Any Chronic Health Condition5
ALL CONTRACTSALL CONTRACTS
Specific Chronic Disease# of Programs% of ProgramsSpecific Chronic Disease% of Programs# of Programs
Diabetes61899.2%Diabetes100.0%623618Specific Chronic Disease# of Programs
Chronic Heart Failure (CHF)57392.0%Chronic Heart Failure (CHF)92.8%578573Diabetes653623
Dyslipidemia53886.4%Dyslipidemia87.2%543538Chronic Heart Failure (CHF)616578
Hypertension53085.1%Hypertension85.9%535530Dyslipidemia595543
Chronic Obstructive Pulmonary Disease (COPD)46274.2%Chronic Obstructive Pulmonary Disease (COPD)75.0%467462Hypertension591535
Asthma42868.7%0.6869983949Asthma69.5%433428Chronic Obstructive Pulmonary Disease (COPD)459467
Osteoporosis39663.6%Osteoporosis64.4%401396Osteoporosis408401
Depression30649.1%Depression49.9%311306Asthma392433
Rheumatoid Arthritis17928.7%Rheumatoid Arthritis29.5%184179Depression273311
Cardiovascular Disorders9815.7%Cardiovascular Disorders16.5%10398Rheumatoid Arthritis198184
HIV/AIDS9314.9%0.8%5End-Stage Renal Disease (ESRD)930
End-Stage Renal Disease (ESRD)9214.8%0.8%5HIV/AIDS750
Hepatitis C8313.3%0.8%5Cardiovascular Disorders71103
Osteoarthritis7011.2%0.8%56646860.9679300292Osteoarthritis610
Alzheimer's Disease569.0%0.8%56846860.9970845481Alzheimer's Disease490
Chronic Lung Disorders558.8%0.8%5Chronic Lung Disorders490
Bipolar Disorder436.9%0.8%5Chronic/Disabling Mental Health Conditions460
Chronic/Disabling Mental Health Conditions416.6%0.8%5Hepatitis C410
Schizophrenia406.4%0.8%5Multiple Sclerosis330
Chronic Noncancer Pain315.0%0.8%5Chronic Noncancer Pain320
Multiple Sclerosis304.8%0.8%5Bipolar Disorder300
Cancer203.2%0.8%5Schizophrenia280
Parkinson's Disease203.2%0.8%5Parkinson's Disease250
Chronic Alcohol and Other Drug Dependence193.0%0.8%5Any Chronic Health Condition220
Atrial Fibrillation162.6%0.8%5Chronic Alcohol and Other Drug Dependence220
Cerebrovascular Disease152.4%0.8%5Atrial Fibrillation210
Anemia142.2%0.8%5Cancer200
Anticoagulation142.2%0.8%5Cerebrovascular Disease200
GI/Reflux/Ulcer conditions121.9%0.8%5Stroke180
Coronary Artery Disease (CAD)111.8%0.8%5Anticoagulation170
Stroke111.8%0.8%5Anemia160
Neurologic Disorders101.6%0.8%5GI/Reflux/Ulcer conditions140
Benign Prostatic Hyperplasia (BPH)91.4%0.8%5Neurologic Disorders140
Dementia91.4%0.8%5Benign Prostatic Hyperplasia (BPH)130
Severe Hematologic Disorders71.1%0.8%5Coronary Artery Disease (CAD)120
Any Chronic Health Condition50.8%0.8%5Severe Hematologic Disorders100
Ischemic Heart Disease50.8%0.8%5Autoimmune Disorders80
Autoimmune Disorders40.6%0.8%5Dementia80
Transplant40.6%0.8%5End-Stage Liver Disease50
Cirrhosis30.5%0.8%5Cirrhosis40
Gout30.5%0.8%5Heart Attack40
Heart Attack30.5%0.8%5Ischemic Heart Disease40
Hypothyroidism30.5%0.8%5Transplant40
Benign Essential Tremor20.3%0.8%5Crohn's Disease30
Crohn's Disease20.3%0.8%5Insomnia30
End-Stage Liver Disease20.3%0.8%5Plaque Psoriasis30
Insomnia20.3%0.8%5Urinary Incontinence (Stress/Urge)30
Plaque Psoriasis20.3%0.8%5Benign Essential Tremor30
Urinary Incontinence (Stress/Urge)20.3%0.8%5
Acute Coronary Syndrome10.2%0.8%5
Angina10.2%0.8%5
Anxiety10.2%0.8%5
Edema10.2%0.8%5
Glaucoma10.2%0.8%5
Neuropathy10.2%0.8%5
Opioid Overuse10.2%0.8%5
Overactive bladder10.2%0.8%5
0
0
0
0
2 Diseases
3 Diseases
Top Diseases
Figure 2. Percent of 2012 MTM Programs with Top Ten Targeted Diseases
Figure 2. Percent of 2016 MTM Programs with Top Ten Targeted Diseases
PartD Drugs covered
Multiple Covered Part D Drugs
Distribution by # of Meds
Minimum Number of Covered Part D Drugs% of all MTM Programs% of MA-PD MTM Programs% of PDP MTM Programs% of MMP MTM Programs
21.4%1.4%0.0%3.3%
30.8%0.8%1.5%0.0%
43.0%2.2%7.5%4.9%
55.8%6.1%1.5%8.2%
613.3%11.9%16.4%21.3%
718.3%17.6%22.4%19.7%
857.3%60.0%50.7%42.6%
1111
100.0%100.0%100.0%100.0%
MA-PDPDPMMP
ALL CONTRACTSMA-PDsPDPsMMPs
# of Meds# of Programs% of Programs# of Programs% of Programs# of Programs% of Programs# of Programs% of Programs
290.014446227970.01414141410020.0327868852
350.008025682240.008080808110.014925373100
4190.0304975923110.022222222250.074626865730.0491803279
5360.0577849117300.060606060610.014925373150.0819672131
6830.1332263242590.1191919192110.1641791045130.2131147541
71140.1829855538870.1757575758150.223880597120.1967213115
83570.57303370792970.6340.5074626866260.4262295082
Total62314951671611
Freq. of ID
Identification
Distribution by Frequency of Identification
ALL CONTRACTSALL CONTRACTSMA-PDsPDPs
Frequency of Identification% of Programs
Quarterly48.5%
Monthly28.3%
Weekly13.6%
Daily9.6%
Every other month0.0%
Total100.0%
Freq. of ID
% of Programs
Figure 3. Frequency of Identification: Percent of 2016 MTM Programs
WrittenSummary after CMR
Distribution by Individualized, written summary of interactive consultation type
Description% of Programs
Individualized, written summary of CMR in CMS' standardized format100.0%
Alternative language translations32.1%
Medication Guide3.5%
Medication History1.1%
Brochures specific to discussion0.5%
Lab History0.5%
Educational Materials0.3%100.0%
14.4%0.6666666667
1.5%Education Pieces & Survey
0.8%Medication History
0.6%
0.6%
0.4%
Description# of Programs
Web Portal Access8.8%
Email17.3%
Fax19.7%
Hand delivery46.5%
Mail100.0%
ALL CONTRACTS
Description# of Programs% of Programs
Email10817.3%
Fax12319.7%
In-person Delivery Method29046.5%
Mail623100.0%
Method of delivery determined by MTM provider457.2%
Web Portal Access558.8%
199.7%
WrittenSummary after CMR
Figure 4. Materials Delivered to Beneficiary after CMR: Percent of 2016 MTM Programs
Bene Intervention
DescriptionALL CONTRACTS
# of Programs% of Programsdouble check against last year. Numbers are different than 2013
Interactive, person-to-person or telehealth consultation623100.0%
Interactive, Person-to-Person, Comprehensive Medication Review, annual623100.0%Description% of programs
Materials delivered to beneficiary after the interactive, person-to-person CMR consultation623100.0%Medication Guides1.4%
Targeted medication reviews, at least quarterly, with follow-up interventions when necessary623100.0%Refill reminder, beneficiary3.5%
Referral: Case Management14423.1%Referral: Specialty Management5.1%
General education newsletter, beneficiary6610.6%Referral: Disease Management8.8%
Referral: Disease Management558.8%General education newsletter, beneficiary10.6%
Referral: Specialty Management325.1%Referral: Case Management23.1%
Refill reminder, beneficiary223.5%
Medication Guides91.4%
Cost saving opportunities with dose optimization50.8%
Cost saving opportunities with generic utilization50.8%
Cost savings through formulary compliance50.8%
Review for use of high risk medications50.8%
Drug utilization screening40.6%
Phone consult with physician after TMR QTR PRN30.5%
Meidcation Guides20.3%212.7%
Referral: Care Management20.3%
phone consult with physician after TMR QRT PRN10.2%
Figure 5. CMR Written Summary Delivery Method: Percent of 2016 MTM Programs
Bene Intervention
% of programs
Figure 6. Beneficiary Interventions:Value Added Services Percent of 2016 MTM Programs
Prescriber Intervention
ALL CONTRACTSMA-PDsPDPsDescription% of programs
Description# of Programs% of Programs# of Programs% of Programs# of Programs% of ProgramsSupporting literature for recommendations0.2%
(blank)00.0%Medication Action Plan0.3%
Supporting literature for recommendations10.2%Polypharmacy screening0.6%
Method of delivery determined by MTM provider.10.2%Alerts on potential untreated drug therapy0.8%
Medication Action Plan20.3%Copy of Comprehensive Medication Review0.8%
Polypharmacy screening40.6%General education newsletter, prescriber3.7%
Method of delivery determined MTM provider40.6%Method of delivery determined by MTM provider6.4%0.0%
Alerts on potential untreated drug therapy50.8%Patient Medication list22.5%
Copy of Comprehensive Medication Review50.8%Prescriber interventions to resolve medication-related problems or optimize therapy100.0%
Method of delivery determined my MTM provider101.6%
General education newsletter, prescriber233.7%
Method of delivery determined by MTM provider254.0%
Patient Medication list14022.5%
Prescriber interventions to resolve medication-related problems or optimize therapy623100.0%
Prescriber Intervention
% of programs
Prescriber Interventions:Value Added Services Percent of 2016 MTM Programs
Provider of MTM Services
Other9114.61%Provider Type% of ProgramsProvider Type% of Programs# of Programs
Physician's Assistant14222.79%Other14.61%
Nurse Practitioner15925.52%Physician's Assistant22.79%
Physician16025.68%Nurse Practitioner25.52%
Licensed Practical Nurse18429.53%Physician25.68%
Pharmacy Technician21334.19%Licensed Practical Nurse29.53%
Registered Nurse23637.88%Pharmacy Technician34.19%
Intern46073.84%Registered Nurse37.88%
Pharmacists623100.00%Intern73.84%
Pharmacists100.00%
Provider of MTM Services
% of Programs
Figure 7. Provider of MTM Services: Percent of 2016 MTM Programs
CMR Provider
ALL CONTRACTS
Provider% of Programs# of Programs
xMTM Vendor In-house Pharmacist47375.92%
MTM Provider of CMR% of ProgramsxPharmacy intern under the direct supervision of a pharmacist42267.74%
MTM Vendor In-house Pharmacist75.9%xMTM Vendor Local Pharmacist32351.85%
Pharmacy intern under the direct supervision of a pharmacist67.7%xPlan Sponsor Pharmacist24138.68%
MTM Vendor Local Pharmacist51.8%xRegistered Nurse19130.66%
Plan Sponsor Pharmacist38.7%xPlan Benefit Manager (PBM) Pharmacist17227.61%
Registered Nurse30.7%xLicensed Practical Nurse15524.88%
Plan Benefit Manager (PBM) Pharmacist27.6%xOther13822.15%
Licensed Practical Nurse24.9%xNurse Practitioner13421.51%
Other22.2%xPhysician12520.06%
Nurse Practitioner21.5%xPhysician's Assistant11518.46%
Physician20.1%Local Pharmacist8313.32%
Physician's Assistant18.5%Long Term Care (LTC) Consultant Pharmacist7912.68%
Local Pharmacist13.3%Hospital Pharmacist71.12%
Long Term Care (LTC) Consultant Pharmacist12.7%Disease Management Pharmacist30.48%
Cost Methodology
Incurred Cost for Covered Part D Drugs: $3000
Distribution by Costing Methodology
reasonpercentvolume
Incurred one-fourth of specified annual cost threshold ($3,507) in previous three months79.1%386
Incurred specified annual cost threshold ($3,507) in previous 12 months3.5%21
See Additional Information 12.7%14
Incurred one-twelfth of specified annual cost threshold ($3,507) in previous month1.3%6
See Additional Information 11.1%6
Detail listed in the Additional Info Section 21.0%6
See Additional 10.6%3
Incurred 1/4 annual cost in prev calendar qtr0.3%1
See Additioinal Informatin 10.2%1
Distribution by Costing Methodology
Specific Threshold and Frequency% of Programs
Incurred one-fourth of specified annual cost threshold ($3,507) in previous three months79.1%
Incurred specified annual cost threshold ($3,507) in previous 12 months3.5%
Incurred one-twelfth of specified annual cost threshold ($3,507) in previous month1.3%
Cost Methodology
% of Programs
Percent of Cost Threshold Incurred
Prescriber Interventions
Distribution by Prescriber interventions to resolve medication-related problems or optimize therapy type2015 data
Description# of Programs% of Programs
Description% of Programsface to face10.2%
Polypharmacy screening9.0%Face-to-Face10.2%
Emailed consultation9.1%Supporting literature for recommendations10.2%
Person to Person Resolution11.6%Person to person consultation10.2%
Electronic Medical Records (EMR)18.8%Person-person resolution of drug related problems10.2%
Mailed consultation92.0%person-to-person resolution of medication problems10.2%
Phone consultation93.7%Perosn to person resolution of med problems10.2%
Faxed consultation97.6%Person-to-person problem resolution10.001605136418.8%
Person to person resolution of med. rel. problems.10.0016051364
Patient Medication list10.0016051364
Electronic medical record consultation20.3%
Electronic medical record notification20.3%
EMR (eClinicalWorks)20.3%
In Person20.3%
Person to person resolution of medication problems20.3%
Person to person resolution of drug related issues20.3%
person to person resolution of medications20.3%
method of delivery defined by the MTM serv prov20.0032102729
person to person resolution of DRP20.0032102729
Person to Person30.5%30
Person to person resolution of med related problem30.5%
MTM summary, when appropriate30.5%
Electronic Medical Records if available.30.5%
Physician web portal communication40.6%
Method of delivery determined by MTM provider61.0%
Electronic medical record messaging91.4%
Web Portal Access111.8%
In-Person Communication223.5%
Method of delivery defined by MTM service provider254.0%
Person to person resolution of medication related254.0%11.6%
Polypharmacy screening569.0%
Emailed consultation579.1%
Electronic data interchange consultation10116.2%18.8%
Mailed consultation57392.0%
Phone consultation58493.7%
Faxed consultation60897.6%
% of Programs
Prescriber Interventions
% of Programs
Prescriber Interventions to Resolve Med-Related Problem/Optimize Therapy
Exp Criteria
Eligibility Criteria# of Programs% of ProgramsMA-PDPDPMMPMTMP_submission_maxCONTRACT_IDA_TARGETlabelcode
Only target enrollees who meet the specified targeting criteria per CMS requirements46875.1%Only enrollees who meet the specified targeting criteria per CMS requirements3805137E0654Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PD
Use Expanded Criteria: Target both enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria15524.9%Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria1151624E2630Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
Total623100.0%E3014Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
E4744Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
E7316Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0022Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H0028Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0104Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0107Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0137Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H0141Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0147Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H0148Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H0150Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0151Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0154Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0174Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0192Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMMPMMPExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0251Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0281Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
727H0294Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
380H0302Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
347H0321Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0332Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0336Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H0351Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0354Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0408Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0423Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0435Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0439Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0480Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H0490Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0504Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0523Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0524Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0543Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0544Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0545Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0562Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0564Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0571Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0602Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0609Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0624Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0630Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0710Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0712Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0735Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0755Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0811Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H0838Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0840Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H0879Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0908Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0913Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H0927Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H1016Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1019Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1026Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1032Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1035Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1036Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1045Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1099Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PD
H1109Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1111Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1112Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1170Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1189Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1230Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1264Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1286Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1291Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1302Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1304Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1350Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1352Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1365Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1394Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1406Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1415Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1416Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1417Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1418Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1463Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1468Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1493Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1510Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1517Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1537Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1587Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1607Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1608Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1609Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1659Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1660Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1666Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1692Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1716Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1723Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H1737Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1777Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1846Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1849Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1894Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1903Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1916Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMMPMMPExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H1944Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1951Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1961Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1969Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1977Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H1994Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H1997Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2001Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2012Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2029Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2034Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2108Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2150Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2161Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2165Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2171Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2174Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2224Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2225Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2226Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2228Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PD
H2230Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2237Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2241Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2256Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2261Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2312Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2320Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2322Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2354Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2400Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2406Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2411Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2416Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2417Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2419Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2422Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2425Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2450Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2456Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2458Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2459Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2461Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2462Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2470Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2486Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2491Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2506Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMMPMMPExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2531Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H2533Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMMPMMPExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2563Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2591Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2593Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2610Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2649Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2654Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2663Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2667Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2672Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2676Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2701Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2751Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H2758Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2773Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2775Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2802Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2816Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2836Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2879Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H2905Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2906Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2926Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2931Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2944Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2949Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2960Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2962Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2968Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H2986Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3018Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H3054Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3067Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H3071Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3107Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3113Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PD
H3129Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMMPMMPExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3132Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3152Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3154Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3156Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3204Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3206Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3233Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3237Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H3240Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3251Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3259Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3291Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3305Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3307Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3312Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3328Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3330Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3335Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3337Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3342Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3344Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3347Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3351Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3359Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3361Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3362Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3370Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3379Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3384Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3387Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3388Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3404Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3421Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3447Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3449Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3471Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3480Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H3528Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3533Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3536Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3561Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3597Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3653Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3655Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3660Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3664Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3668Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3672Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3706Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3708Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3749Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3755Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3765Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3794Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3805Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3810Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3811Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3813Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3814Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3815Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3817Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3818Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3822Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PD
H3832Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3864Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3890Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3907Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3909Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3916Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3923Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3924Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3928Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3931Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3945Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3949Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3952Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3954Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3957Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3959Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H3962Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H3979Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4003Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4004Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4005Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4007Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4011Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4036Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4141Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4145Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4152Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4198Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4213Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4227Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4279Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4346Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4407Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4454Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4461Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4465Only enrollees who meet the specified targeting criteria per CMS requirementsMMPMMPOnly enrollees who meet the specified targeting criteria per CMS requirements
H4488Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4490Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4497Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4506Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4513Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4514Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4523Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4525Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4527Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4528Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4564Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4590Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4604Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4605Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4738Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4754Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4866Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4875Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4876Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H4909Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4922Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H4931Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H5008Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H5009Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H5010Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H5042Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H5050Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteria
H5087Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PD
H5106Only enrollees who meet the specified targeting criteria per CMS requirementsMA-PDMA-PDOnly enrollees who meet the specified targeting criteria per CMS requirements
H5141Expanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific targeting criteriaMA-PDMA-PDExpanded eligibility: Enrollees who meet the specified targeting criteria per CMS requirements and enrollees who meet other plan-specific ta