Medicare Managed Care Manual (Pub. 100-16), Ch. 15 § 40
CMPs for MA Organizations That Improperly Terminate the MA
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.