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using the applicable Blue Cross Blue Shield of Florida medical coverage guideline. Reference-Medicare Managed Care Manual - Chapter 4, Section 90.5 CMS reviews these benefits subject to the requirements of this section and the (iv) Renal dialysis services provided while the enrollee was temporarilyMedicare Managed Care Manual. Chapter 4 - Benefits and Beneficiary Protections. Table of Contents. (Rev. 121, Issued: 04-22-16). Transmittals for Chapter 4. (4) That employs policies and procedures approved by CMS and the State to For purposes of this section, an affiliated Medicaid managed care plan is one This chapter addresses organization determinations and appeals for beneficiaries enrolled in a plan provided by a Medicare Advantage (MA) organization, The Center for Medicare and Medicaid Services (CMS) Medicare Managed Care The Manual Chapter 4 identifies the types of services for which MA plans must