(a) Nonrenewal by the HMO or CMP.
(1) If an HMO or CMP does not intend to renew its contract, it must—
- (i) Give written notice to CMS at least 90 days before the end of the current contract period; and
- (ii) Notify each Medicare enrollee by mail at least 60 days before the end of the contract period.
(2) CMS may accept a nonrenewal notice submitted less than 90 days before the end of a contract period if—
- (i) The HMO or CMP notifies its Medicare enrollees and the public in accordance with paragraph (a)(1) of this section; and
- (ii) Acceptance would not otherwise jeopardize the effective and efficient administration of the Medicare program.
(b) Nonrenewal by CMS—(1) Notice of nonrenewal. If CMS decides not to renew a contract, it gives written notice of nonrenewal as follows:
- (i) To the HMO or CMP at least 90 days before the end of the contract period.
- (ii) To the HMO's or CMP's Medicare enrollees at least 60 days before the end of the contract period.
- (2) Notice of appeal rights. CMS gives the HMO or CMP written notice of its right to appeal the nonrenewal decision, in accordance with part 422 subpart N of this chapter, if CMS's decision was based on any of the reasons specified in § 417.494(b).
[50 FR 1346, Jan. 10, 1985, as amended at 58 FR 38079, July 15, 1993; 60 FR 45681, Sept. 1, 1995; 75 FR 19803, Apr. 15, 2010; 77 FR 22166, Apr. 12, 2012]