(a) Contents of application.
- (1) The application for a contract must include supporting information in the form and detail required by CMS.
- (2) Whenever feasible, CMS exempts the HMO or CMP from resubmittal of information it has already submitted to CMS in connection with a determination made under the provisions of § 417.406.
(b) Approval of application.
- (1) If CMS approves the application, it gives written notice to the HMO or CMP, indicating that it meets the requirements for either a risk or reasonable cost contract or only for a reasonable cost contract.
- (2) If the HMO or CMP is dissatisfied with a determination that it meets the requirements only for a reasonable cost contract, it may request reconsideration in accordance with the procedures specified in subpart R of this part.
(c) Denial of application. If CMS denies the application, it gives written notice to the HMO or CMP indicating—
- (1) That it does not meet the contract requirements under section 1876 of the Act;
- (2) The reasons why the HMO or CMP does not meet the contract requirements; and
- (3) The HMO's or CMP's right to request reconsideration in accordance with the procedures specified in subpart R of this part.
[50 FR 1346, Jan. 10, 1985, as amended at 56 FR 8853, Mar. 1, 1991; 58 FR 38078, July 15, 1993; 60 FR 45676, Sept. 1, 1995]