Quality Improvement Organization Manual (Pub. 100-10), Ch. 15 § 15550
Termination Decision - (Rev. 1, 05-23-03)
15550 - Termination Decision - (Rev. 1, 05-23-03)
The CMS may or may not accept the findings of the panel. After the panel has submitted
its report, CMS may, with concurrence of the QIO, amend the Statement of Work (SOW)
to modify the QIO’s functions or otherwise change the contract. Also, CMS may elect to
terminate the QIO’s contract upon 90 days notice after submission of the panel’s report or
earlier if the QIO agrees. In accordance with §1153(f) of the Act, any determination by
the Secretary to terminate a contract shall not be subject to judicial review.
From the time CMS receives the panel’s report and gives the notice of intent to terminate,
CMS may transfer review responsibilities of the QIO under the contract being terminated
to another Utilization and Quality Control QIO, or to an intermediary or carrier having an
agreement under §1816 of the Act or a contract under §1842 of the Act until CMS enters
into a contract with another QIO.