As an authorized Medicare+Choice plan, the Brightwell HMO must satisfy CMS requirements regulating access to...

Allow enrollees to determine whether they will receive primary care from a physician, nurse practitioner, or other qualified network provider

Base a provider’s participation in the network, reimbursement, and indemnification levels on the provider’s license or certification

Define its service area according to community patterns of care

Require enrollees to obtain prior authorization for all emergency or urgently needed services