Medicare Claims Processing Manual (Pub. 100-04), Ch. 36 § 30.9
Breach of Contract
30.9 - Breach of Contract
(Rev. 1502; Issued: 05-09-08; Effective/Implementation Date: 06-09-08)
Pursuant to 42 CFR 414.422(f)(1), any violation of the terms of the contract by the contract
supplier, including a failure to comply with licensing and accreditation requirements, constitutes
a breach of contract.
If a supplier breaches its contract, CMS may take one or more of the following actions:
(i)
Require the contract supplier to submit a corrective action plan (CAP);
(ii)
Suspend the contract supplier’s contract;
(iii)
Terminate the contract;
(iv)
Preclude the contract supplier from future participation in the competitive bidding
program;
(v)
Revoke the supplier number of the contract supplier; or
(vi)
Avail itself of other remedies allowed by law.
CMS will notify the DME MACs in the event that a CMS action results in a termination or
suspension of the contract.