{"data":{"id":"us/42-cfr-460.42","jurisdiction":"us","citation":"42 CFR 460.42","heading":"Suspension of enrollment or payment by CMS.","body":"(a) Enrollment. If a PACE organization commits one or more violations specified in § 460.40, CMS may suspend enrollment of Medicare beneficiaries after the date CMS notifies the organization of the violation.\n(b) Payment. If a PACE organization commits one or more violations specified in § 460.40, for individuals enrolled after the date CMS notifies the PACE organization of the violation, CMS may take the following actions:\n(1) Suspend Medicare payment to the PACE organization.\n(2) Deny payment to the State for medical assistance for services furnished under the PACE program agreement.\n(c) Term of suspension. A suspension or denial of payment remains in effect until CMS is satisfied that the following conditions are met:\n(1) The PACE organization has corrected the cause of the violation.\n(2) The violation is not likely to recur.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER E—PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)","PART 460—PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)","Subpart D—Sanctions, Enforcement Actions, and Termination"],"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":"125218cc632aa0b5d1109f9623f4f6cbacc9e3df33bf6a6a6ec74622981a1188","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-460.40","next":"us/42-cfr-460.46"},"notice":"GroundRules: Original legal text. Not legal advice."}