Medicare Managed Care Manual (Pub. 100-16), Ch. 11 § 70.1
Nonrenewal of MA Contract: MA Organization-Initiated
70.1 - Nonrenewal of MA Contract: MA Organization-Initiated
(Rev. 83; Issued: 04-25-07; Effective/Implementation Dates: 04-25-07)
An MA organization may elect not to renew its contract with CMS at the end the contract
for any reason provided it meets specified time frames for doing so. If an MA
organization does not intend to renew its contract, it must notify:
•
CMS in writing by the first Monday of June of the year in which the contract
would end, or a later date specified by CMS as described below;
•
Each Medicare enrollee at least 90 days before the date on which the nonrenewal
is effective. The CMS approved-notice to the enrollee must include a written
description of alternatives available for obtaining Medicare services within the
service area, including alternative MA plans, Medigap options, and Original
Medicare; and
•
The general public at least 90 days before the end of the current calendar year, by
publishing a notice in one or more newspapers of general circulation in each
community located in the MA organization's service area. This notice must be
pre-approved by CMS;
CMS may accept a nonrenewal notice submitted after the first Monday in June if:
•
The MA organization notifies its Medicare enrollees and the public as specified
above; and
•
Acceptance of the delayed non-renewal notice would not be inconsistent with the
effective and efficient administration of the Medicare program.
NOTE:
For more information concerning non-renewals view the non-renewal section
at http://www.cms.hhs.gov/HealthPlansGenInfo.