{"data":{"id":"us/42-cfr-423.2516","jurisdiction":"us","citation":"42 CFR 423.2516","heading":"Selection of LI NET sponsor and contracting provisions.","body":"(a) Appointment by CMS. CMS appoints a Part D sponsor that meets the requirements at § 423.2512 to serve as the LI NET sponsor.\n(b) Selection criteria. In appointing a LI NET sponsor, CMS evaluates the following:\n(1) Experience covering low-income beneficiaries, including but not limited to enrolling and providing coverage to low-income subsidy individuals as defined in § 423.34;\n(2) Pharmacy access as outlined in § 423.120;\n(3) Past performance, including Star Ratings (as detailed in § 423.186), previous intermediate sanctions (as detailed in § 423.750), and consistent with past performance in § 423.503(b); and\n(4) Ability to meet the requirements listed in § 423.505 that are not waived under § 423.2536.\n(c) Term of appointment. The term of the appointment will be ongoing provided mutual agreement between CMS and the selected party, subject to an annual contracting and bid process (per § 423.2524(b)) to determine payment rates for the upcoming year.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER B—MEDICARE PROGRAM","PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT","Subpart Y—Transitional Coverage and Retroactive Medicare Part D Coverage for Certain Low-Income Beneficiaries Through the Limited Income Newly Eligible Transition (LI NET) Program"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"6c330d493b3d88c6dca7726e3af1cfba837b8e743f974a0cef06ca5451c0fbfb","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-423.2512","next":"us/42-cfr-423.2518"},"notice":"GroundRules: Original legal text. Not legal advice."}