GroundRules
42 CFR 422.641: Contract determinations.
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 N—Medicare Contract Determinations and Appeals
This subpart establishes the procedures for making and reviewing the following contract determinations:
(a) A determination that an entity is not qualified to enter into a contract with CMS under Part C of title XVIII of the Act.
(b) A determination not to authorize a renewal of a contract with an MA organization in accordance with § 422.506(b).
(c) A determination to terminate a contract with an MA organization in accordance with § 422.510(a).
(d) A determination that an entity is not qualified to offer a Specialized MA Plan for Special Needs Individuals as defined in §§ 422.2 and 422.4(a)(1)(iv).
Collected 2026-08-27T02:26:11Z. Source file · JSON