42 C.F.R. § 422.664   Postponement of effective date of a contract determination when a request for a hearing with respect to a contract determination is filed timely.


Title 42 - Public Health


Title 42: Public Health
PART 422—MEDICARE ADVANTAGE PROGRAM
Subpart N—Medicare Contract Determinations and Appeals

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§ 422.664   Postponement of effective date of a contract determination when a request for a hearing with respect to a contract determination is filed timely.

(a) CMS postpones the proposed effective date of the contract determination to terminate a contract with an MA organization until a hearing decision is reached and affirmed by the Administrator following review under §422.692 in instances where an MA organization requests review by the Administrator; and

(b) CMS extends the current contract at the end of the contract period (in the case of a determination not to renew) only—

(1) If CMS finds that an extension of the contract will be consistent with the purpose of this part; and

(2) For such period as CMS and the MA organization agree.

(c) Exception: A contract terminated in accordance with §422.510(a)(5) will be immediately terminated and will not be postponed if a hearing is requested.

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