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Title 42: Public Health
CHAPTER IV: CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED)
SUBCHAPTER B: MEDICARE PROGRAM
PART 422: MEDICARE ADVANTAGE PROGRAM
Subpart N: Medicare Contract Determinations and Appeals
422.644 - Notice of contract determination.
(a) When CMS makes a contract determination, it gives the MA organization written notice.
(b) The notice specifies?
(1) The reasons for the determination; and
(2) The MA organization's right to request a hearing.
(c) CMS-initiated terminations?(1) General rule. Except as provided in (c)(2) of this section, CMS mails notice to the MA organization 90 calendar days before the anticipated effective date of the termination.
(2) Exception. If a contract is terminated in accordance with ? 422.510(b)(2)(i) of this part, CMS notifies the MA organization of the date that it will terminate the MA organization's contract.
(d) When CMS determines that it will not authorize a contract renewal, CMS mails the notice to the MA organization by August 1 of the current contract year.
[63 FR 35113, June 26, 1998, as amended at 72 FR 68724, Dec. 5, 2007; 75 FR 19813, Apr. 15, 2010]
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