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Code of Federal Regulations (Last Updated: July 5, 2024) |
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Title 42 - Public Health |
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Chapter IV - Centers for Medicare & Medicaid Services, Department of Health and Human Services |
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SubChapter B - Medicare Program |
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Part 422 - Medicare Advantage Program |
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Subpart N - Medicare Contract Determinations and Appeals |
§ 422.641 - Contract determinations.
Latest version.
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§ 422.641 Contract determinations.
This subpart establishes the procedures for making and reviewing the following contract determinations:
(a) A determination that an entity is not qualified to enter into a contract with CMS under Part C of title XVIII of the Act.
(b) A determination not to authorize a renewal of a contract with an MA organization in accordance with § 422.506(b).
(c) A determination to terminate a contract with an MA organization in accordance with § 422.510(a).
(d) A determination that an entity is not qualified to offer a Specialized MA Plan for Special Needs Individuals as defined in §§ 422.2 and 422.4(a)(1)(iv).
[63 FR 35113, June 26, 1998, as amended at 77 FR 22168, Apr. 12, 2012; 80 FR 7962, Feb. 12, 2015]