CMS Pub. 100-16, ch. 11, § 130

As a condition for receiving a MA related monthly payment from CMS, the MAO agrees

that its chief executive officer (CEO), chief financial officer (CFO), or an individual

delegated the authority to sign on behalf of one of these officers, and who reports directly

to such officer, must request payment under the contract on a document that attests to

(based on best knowledge, information and belief, as of the date specified on the

certification form) the accuracy, completeness, and truthfulness of relevant data that

CMS requests. Such data include specified enrollment/disenrollment information,

changes in benefit packages, and other information that CMS may specify.

The CEO, CFO, or an individual delegated the authority to sign on behalf of one of these

officers, and who reports directly to such officer, must attest to the fact that each enrollee

for whom the organization is requesting payment is validly enrolled in an MA plan

offered by the organization, and the information relied upon by CMS in determining

payment (based on best knowledge, information, and belief as of the date specified on the

attestation form) is accurate, complete, and truthful.

The CEO, CFO, or an individual delegated with the authority to sign on behalf of one of

these officers, and who reports directly to such officer, must attest to (based on best

knowledge, information and belief, as of the date specified on the attestation form) that

the data it submits are accurate, complete, and truthful. If such data are generated by a

related entity, contractor, or subcontractor of an MAO, such entity, contractor, or

subcontractor must similarly attest to (based on best knowledge, information, and belief,

as of the date specified on the attestation form) the accuracy, completeness, and

truthfulness of the data.

The CEO, CFO, or an individual delegated the authority to sign on behalf of one of these

officers, and who reports directly to such officer, must attest to (based on best

knowledge, information and belief, as of the date specified on the attestation form) that

the information in its bid submission is accurate, complete, and truthful and fully

conforms to the bid proposal requirements.

This attestation requirement is applicable to all MA contractors, including those that are

nonrenewing or terminating their contracts.