Providers are “deemed” when they know, before providing services, that the patient is in a private fee-for-service insurance plan, and they agree to give the patient care. Providers who are deemed agree to follow the patient’s plan’s terms and conditions of payment for the services given.

Designation that a Medicare+Choice organization has been reviewed and determined “fully accredited” by a Centers for Medicare and Medicaid Services (CMS)–approved accrediting organization for those standards within the deeming categories that the accrediting organization has the authority to deem.

Law that if an insurance policy is filed with an insurance department that it is considered approved after a specific period of time unless the Insurance Commission gives a disapproval notice.

Power granted by the Centers for Medicare and Medicaid Services (CMS) to accrediting organizations to determine, on CMS’s behalf, whether a Medicare+Choice evaluated by the accrediting organization is in compliance with corresponding Medicare regulations.