Medicare Managed Care Manual (Pub. 100-16), Ch. 15 § 10

Types of Intermediate Sanctions

Last amended: 2005Year: 2005Length: 110 wordsOfficial source
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.
Medicare Managed Care Manual (Pub. 100-16), Ch. 15 § 10: Types of Intermediate Sanctions | Justis AI