US · guidance
CMS Pub. 100-16, ch. 15, § 40
CMPs for MA Organizations That Improperly Terminate the MA
Contract
(Rev. 73, Issued: 09-30-05, Effective Date: 09-30-05)
Under §623 of the Benefits Improvement and Protection Act of 2000 (BIPA), when CMS
determines that an MA organization terminates its MA contract in a manner that violates
MA termination requirements described in the Federal Regulations at 42 CFR 422.512,
CMS may levy a CMP of $250 per enrollee from the terminated plan or $100,000,
whichever is higher.
History
(Rev. 73, Issued: 09-30-05, Effective Date: 09-30-05)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
50fdae440e65bd5e2b276cf90d6c21662f0764242adb2c223398c693e254d4e9
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.