Medicare Managed Care Manual (Pub. 100-16), Ch. 15 § 40

CMPs for MA Organizations That Improperly Terminate the MA

Last amended: 2005Year: 2005Length: 77 wordsOfficial source
40 - CMPs for MA Organizations That Improperly Terminate the MA Contract (Rev. 73, Issued: 09-30-05, Effective Date: 09-30-05) Under §623 of the Benefits Improvement and Protection Act of 2000 (BIPA), when CMS determines that an MA organization terminates its MA contract in a manner that violates MA termination requirements described in the Federal Regulations at 42 CFR 422.512, CMS may levy a CMP of $250 per enrollee from the terminated plan or $100,000, whichever is higher.
Medicare Managed Care Manual (Pub. 100-16), Ch. 15 § 40: CMPs for MA Organizations That Improperly Terminate the MA | Justis AI