CMS CY2025 Medicare Advantage Final Rule
Your Guide to Understanding Network Adequacy Requirements for Medicare Advantage Organizations
The CMS Contract Year 2025 Medicare Advantage and Part D Final Rule introduces changes in network adequacy criteria that will impact how Medicare Advantage organizations operate. Our policy brief breaks down these essential requirements, providing you with a clear understanding of what is expected under the new regulations. Key points include:
- Addition of Outpatient Behavioral Health Facility-Specialty Type
- Two Network Adequacy Exceptions for I-SNPs:
- Emphasis on Provider Directory Accuracy
Download our policy brief today to leverage expert analysis and guidance on complying with the new network adequacy criteria.
Find More Medicare Advantage Resources
Looking for more tips to help you stay review-ready and compliant-confident with CMS? We’ve got them! Explore our CMS Resource Hub to find our growing collection of guides, videos and tools to help you achieve your compliance and service area expansion goals.
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