GroundRules
42 CFR 422.376: Conditions of the waiver.
Where this section sits in the code
- Title 42—Public Health
- CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
- SUBCHAPTER B—MEDICARE PROGRAM
- PART 422—MEDICARE ADVANTAGE PROGRAM
- Subpart H—Provider-Sponsored Organizations
A waiver granted under this section is subject to the following conditions:
(a) Limitation to State. The waiver is effective only for the particular State for which it is granted and does not apply to any other State. For each State in which the organization wishes to operate without a State license, it must submit a waiver request and receive a waiver.
(b) Limitation to 36-month period. The waiver is effective for 36 months or through the end of the calendar year in which the 36 month period ends unless it is revoked based on paragraph (c) of this section.
(c) Mid-period revocation. During the waiver period (set forth in paragraph (b) of this section), the waiver is automatically revoked upon—
(1) Termination of the MA contract;
(2) The organization's compliance with the State licensure requirement of section 1855(a)(1) of the Act; or
(3) The organization's failure to comply with § 422.378.
Collected 2026-08-27T02:26:11Z. Source file · JSON