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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 423 - Voluntary Medicare Prescription Drug Benefit |
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Subpart N - Medicare Contract Determinations and Appeals |
§ 423.641 - Contract determinations.
Latest version.
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§ 423.641 Contract determinations.
This subpart establishes the procedures for reviewing the following contract determinations:
(a) A determination that an entity is not qualified to enter into a contract with CMS under Part D of title XVIII of the Act.
(b) A determination not to authorize a renewal of a contract with a PDP sponsor in accordance with § 423.507(b).
(c) A determination to terminate a contract with a PDP sponsor in accordance with § 423.509.
(d) Fallback entities are governed under subpart Q of this part, and are not subject to this subpart, except to the extent a fallback prescription drug plan contract is terminated by CMS.