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Medicare tends to follow a stricter line, often requiring detailed diagnosis support
[DOI] [PMC free article] [PubMed] [Google Scholar] 38.Tao Z., Cheng Z
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Integrated Care Resource Center, 2016b).[7] CMS evaluates network adequacy at the contract level--which for any MA organization may include both many regular MA plans and D-SNPs--rather than at plan-level, so an individual DSNP's network may not necessarily be aligned with the needs of that specific enrolled plan population (CMS, 2017b)
