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US · guidance

CMS Pub. 100-16, ch. mc86c17d, § 40.5

Cost Plan Denial of Enrollment

activein force · 2026-08-25 – presentas-observed

A cost plan must deny an enrollment based on its own determination of the ineligibility

of the individual to enroll in the plan.

Cost plan denials occur before the organization has transmitted the enrollment to CMS.

For example, it may be obvious that the individual is not eligible to elect the plan due to

place of permanent residence, or that the cost plan is closed for enrollment, etc. This up-front denial determination should be made in a timely manner, but no later than 30

calendar days from the date the organization received the enrollment form.

Notice Requirement - The organization must send written notice of the denial to the

individual that includes an explanation of the reason for denial (Exhibit 5). This notice

should be sent no later than 30 calendar days from the date the organization received the

enrollment form.

If the cost plan is following the procedures in §40.2.2 of this chapter to request additional

information from a beneficiary, the denial notice should be sent within 7 business days of

the denial determination made when the request for additional information period

expires.

History

(Rev. 38, 10-31-03)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
51e0f96f63eb4ad2f7424940760f9614274e058b43eae020410d354e8dbd6bbf
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