Downstream Entity. has the same definition that in 42 CFR §§ 422.2 and 423.4, which, at the time of execution of this Blue Cross MA PPO Addendum, means any party that enters into a written arrangement, acceptable to CMS, with persons or entities involved with the MA benefit, below the level of the arrangement between The MA Plan and a First-Tier Entity, such as Hospital. These written arrangements continue down to the level of the ultimate provider of both health and administrative services.
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Sources: Blue Cross Ma Ppo Addendum
Downstream Entity. has the same definition that in 42 CFR §§ 422.2 and 423.4, which, at the time of execution of this Blue Cross MA PPO AddendumHMO Amendment, means any party that enters into a written arrangement, acceptable to CMS, with persons or entities involved with the MA benefit, below the level of the arrangement between The MA Plan BlueLincs HMO and a First-Tier Entity, such as Hospital. These written arrangements continue down to the level of the ultimate provider of both health and administrative services.
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Sources: Bluelincs Hmo Addendum