Medicare Managed Care Manual (Pub. 100-16), Ch. 15 § 10
Types of Intermediate Sanctions
10 - Types of Intermediate Sanctions
(Rev. 73, Issued: 09-30-05, Effective Date: 09-30-05)
In general, and in accordance with 42 CFR 422.752, and 42 CFR 756, CMS may impose
the following intermediate sanctions on Medicare Advantage (MA) organizations that
have contracts in effect:
•
Civil Money Penalties (CMPs) ranging from $10,000 to $100,000 depending on
the violation;
•
Suspension of enrollment of Medicare beneficiaries;
•
Suspension of payment to the MA organization
•
Suspension of marketing activities to Medicare beneficiaries
While there are separate requirements regarding the imposition of CMPs, it is important
to recognize that CMPs are but one of the four types of intermediate sanctions available
to CMS.