Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 60
MA Contract Renewal
60 - MA Contract Renewal
(Rev. 79, Issued 02-17-06, Effective Date 02-17-06)
MA contracts are renewed annually only if:
•
CMS informs the MA organization that it authorizes a renewal;
•
The MA organization has not provided CMS with a notice of intention not to
renew; and
•
Agreement is reached on the bid submitted by the MA organization.
CMS will notify each MA organization of its decision whether to authorize the renewal
of its MA contract, along with applicable appeal rights, by May 1 of the current contract
year.
NOTE: CMS annually issues a call letter specifying information concerning the
contract renewal process. For information for 2006 contracts, as well as
information concerning the transition to plans with contracts beginning
in 2006, view our call letter at
http://www.cms.hhs.gov/HealthPlansGenInfo. The call letter includes
the HPMS plan crosswalk which specifies MA plan renewal guidelines
and operational instructions by designating the relationships between
plans offered in 2005 to those being offered in 2006.