chronically ill enrollee
Defined in 1 place of the United States Code.
In this subparagraph, the term “chronically ill enrollee” means an enrollee in an MA plan that the Secretary determines—
(I) has one or more comorbid and medically complex chronic conditions that is life threatening or significantly limits the overall health or function of the enrollee;
(II) has a high risk of hospitalization or other adverse health outcomes; and
(III) requires intensive care coordination.
Source
- 2018–present42 U.S.C. § 1395WThe Public Health and Welfare · Benefits and beneficiary protections · under this part