Code of Federal Regulations (alpha)

CFR /  Title 42  /  Part 422  /  Sec. 422.53 Eligibility to elect an MA plan for senior housing

(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 Sec. 422.2.

(2) Be eligible to elect an MA plan under Sec. 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 Sec. 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. [76 FR 21561, Apr. 15, 2011]