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Medicare (Title XVIII of the Social Security Act)
Definitions, Miscellaneous Provisions


Definitions, Miscellaneous Provisions418

 

Organizations offering specialized Medicare Advantage plans for special needs individuals must conduct an initial assessment and an annual assessment of the individual’s psychical, psychosocial, and functional needs;419 develop a plan in consultation with the individual (if feasible) that identifies goals and objectives, including measurable outcomes as well as specific services and benefits to be provided;420 and use an interdisciplinary team in the management of care.421

 

Footnotes

  • 418. Social Security Act § 1859, 42 U.S.C. 1395w-28.
  • 419. Social Security Act § 1859(f)(5)(B)(i), 42 U.S.C. 1395w-28(f)(5)(B)(i).
  • 420. Social Security Act § 1859(f)(5)(B)(ii), 42 U.S.C. 1395w-28(f)(5)(B)(ii).
  • 421. Social Security Act § 1859(f)(5)(B)(iii), 42 U.S.C. 1395w-28(f)(5)(B)(iii).