Common use of Renewal of the MA Contract Clause in Contracts

Renewal of the MA Contract. A. RENEWAL OF CONTRACT In accordance with 42 CFR §422.505, following the initial contract period, this contract is renewable annually only if- 1. The MA Organization has not provided CMS with a notice of intention not to renew; [422.506(a)] 2. CMS and the MA Organization reach agreement on the bid under 42 CFR Part 422, Subpart F; and 3. CMS informs the MA Organization that it authorizes a renewal. B. NONRENEWAL OF CONTRACT 1. Nonrenewal by the Organization. (a) In accordance with 42 CFR §422.506, the MA Organization may elect not to renew its contract with CMS as of the end of the term of the contract for any reason, provided it meets the time frames for doing so set forth in this subparagraph. (b) If the MA Organization does not intend to renew its contract, it must notify- (i) CMS, in writing, by the first Monday in June of the year in which the contract would end, pursuant to 42 CFR §422.506 (ii) Each Medicare enrollee by mail, at least 90 calendar days before the date on which the nonrenewal is effective. This notice must include a written description of all alternatives available for obtaining Medicare services within the service area including alternative MA plans, MA-PD plans, Medigap options, and original Medicare and prescription drug plans and must receive CMS approval prior to issuance. (c) CMS may accept a nonrenewal notice submitted after the applicable annual non-renewal notice deadline if - (i) The MA Organization notifies its Medicare enrollees and the public in accordance with subparagraph (1) (b)(ii) of this paragraph; and (ii) Acceptance is not inconsistent with the effective and efficient administration of the Medicare program. (d) If the MA Organization does not renew a contract under this subparagraph, CMS will not enter into a contract with the Organization or with any organization whose covered persons, as defined at 42 CFR §422.506(a)(5), also served as covered persons for the non-renewing MA Organization for 2 years unless there are special circumstances that warrant special consideration, as determined by CMS. [422.506(a)] 2. CMS decision not to renew. (a) CMS may elect not to authorize renewal of a contract for any of the following reasons: (i) For any of the reasons listed in 42 CFR §422.510(a) which would also permit CMS to terminate the contract. (ii) The MA Organization has committed any of the acts in 42 CFR §422.752(a) that would support the imposition of intermediate sanctions or civil money penalties under 42 CFR Part 422 Subpart O. (iii) The MA Organization did not submit a benefit and price bid or the benefit and price bid was not acceptable [422.505(d)]

Renewal of the MA Contract. A. RENEWAL OF CONTRACT X. Xxxxxxx of contract: In accordance with 42 CFR §422.505, following the initial contract period, this contract is renewable annually only if- 1. The MA Organization has not provided CMS with a notice of intention not to renew; [422.506(a)] 2. CMS and the MA Organization reach agreement on the bid under 42 CFR Part 422, Subpart F; and [422.505(d)] 3. CMS informs the MA Organization that it authorizes a renewal. B. NONRENEWAL OF CONTRACTNonrenewal of contract 1. Nonrenewal by the Organization. (a) In accordance with 42 CFR §422.506, the MA Organization may elect not to renew its contract with CMS as of the end of the term of the contract for any reason, provided it meets the time frames for doing so set forth in subparagraphs (b) and (c) of this subparagraphparagraph. (b) If the MA Organization does not intend to renew its contract, it must notify-notify— (i) CMS, in writing, by the first Monday in June of the year in which the contract would end, pursuant to 42 CFR §422.506 (ii) Each Medicare enrollee by mail, at least 90 calendar days before the date on which the nonrenewal is effective. This notice must include a written description of all alternatives available for obtaining Medicare services within the service area including alternative MA plans, MA-PD plans, Medigap options, and original Medicare and prescription drug plans and must receive CMS approval prior to issuance. (c) CMS may accept a nonrenewal notice submitted after the applicable annual non-renewal notice deadline if -if- (i) The MA Organization notifies its Medicare enrollees and the public in accordance with subparagraph subparagraph (1) (b)(iil)(b)(ii) of this paragraphsection; and (ii) Acceptance is not inconsistent with the effective and efficient administration of the Medicare program. (d) If the MA Organization does not renew a contract under this subparagraphsubparagraph (1), CMS will not enter into a contract with the Organization or with any organization whose covered persons, as defined at 42 CFR §422.506(a)(5), also served as covered persons for the non-renewing MA Organization for 2 years unless there are special circumstances that warrant special consideration, as determined by CMS. [422.506(a)] 2. CMS decision not to renew. (a) CMS may elect not to authorize renewal of a contract for any of the following reasons: (i) For any of the reasons listed in 42 CFR §422.510(a) [Article VIII, section (B)(1)(a) of this contract], which would also permit CMS to terminate the contract. (ii) The MA Organization has committed any of the acts in 42 CFR §422.752(a) that would support the imposition of intermediate sanctions or civil money penalties under 42 CFR Part 422 Subpart O. (iii) The MA Organization did not submit a benefit and price bid or the benefit and price bid was not acceptable [422.505(d)]

Renewal of the MA Contract. A. RENEWAL OF CONTRACT In accordance with 42 CFR §422.505, following the initial contract period, this contract is renewable annually only if- 1. The MA Organization has not provided CMS with a notice of intention not to renew; [422.506(a)] 2. CMS and the MA Organization reach agreement on the bid under 42 CFR Part 422, Subpart F; and [422.505(d)] 3. CMS informs the MA Organization that it authorizes a renewal. B. NONRENEWAL OF CONTRACT 1. Nonrenewal by the Organization. (a) In accordance with 42 CFR §422.506, the MA Organization may elect not to renew its contract with CMS as of the end of the term of the contract for any reason, provided it meets the time frames for doing so set forth in this subparagraph. (b) If the MA Organization does not intend to renew its contract, it must notify-notify - - (i) CMS, in writing, by the first Monday in June of the year in which the contract would end, pursuant to 42 CFR §422.506 (ii) Each Medicare enrollee by mail, at least 90 calendar days before the date on which the nonrenewal is effective. This notice must include a written description of all alternatives available for obtaining Medicare services within the service area including alternative MA plans, MA-PD plans, Medigap options, and original Medicare and prescription drug plans and must receive CMS approval prior to issuance. (c) CMS may accept a nonrenewal notice submitted after the applicable annual non-renewal notice deadline if - (i) The MA Organization notifies its Medicare enrollees and the public in accordance with subparagraph subparagraph (1) (b)(ii1)(b)(ii) of this paragraph; and (ii) Acceptance is not inconsistent with the effective and efficient administration of the Medicare program. (d) If the MA Organization does not renew a contract under this subparagraph, CMS will not enter into a contract with the Organization or with any organization whose covered persons, as defined at 42 CFR §422.506(a)(5), also served as covered persons for the non-renewing MA Organization for 2 years unless there are special circumstances that warrant special consideration, as determined by CMS. [422.506(a)] 2. CMS decision not to renew. (a) CMS may elect not to authorize renewal of a contract for any of the following reasons: (i) For any of the reasons listed in 42 CFR §422.510(a) § which would also permit CMS to terminate the contract. (ii) The MA Organization has committed any of the acts in 42 CFR §422.752(a) that would support the imposition of intermediate sanctions or civil money penalties under 42 CFR Part 422 Subpart O. (iii) The MA Organization did not submit a benefit and price bid or the benefit and price bid was not acceptable [422.505(d)]

Renewal of the MA Contract. A. RENEWAL OF CONTRACT In accordance with 42 CFR §422.505, following the initial contract period, this contract is renewable annually only if- 1. The MA Organization has not provided CMS with a notice of intention not to renew; [422.506(a)] 2. CMS and the MA Organization reach agreement on the bid under 42 CFR Part 422, Subpart F; and [422.505(d)] 3. CMS informs the MA Organization that it authorizes a renewal. B. NONRENEWAL OF CONTRACT 1. Nonrenewal by the Organization. (a) In accordance with 42 CFR §422.506, the MA Organization may elect not to renew its contract with CMS as of the end of the term of the contract for any reason, provided it meets the time frames for doing so set forth in this subparagraph. (b) If the MA Organization does not intend to renew its contract, it must notify-notify — (i) CMS, in writing, by the first Monday in June of the year in which the contract would end, pursuant to 42 CFR §422.506 (ii) Each Medicare enrollee by mail, at least 90 calendar days before the date on which the nonrenewal is effective. This notice must include a written description of all alternatives available for obtaining Medicare services within the service area including alternative MA plans, MA-PD plans, Medigap options, and original Medicare and prescription drug plans and must receive CMS approval prior to issuance. (c) CMS may accept a nonrenewal notice submitted after the applicable annual non-renewal notice deadline if - (i) The MA Organization notifies its Medicare enrollees and the public in accordance with subparagraph subparagraph (1) (b)(ii1)(b)(ii) of this paragraph; and (ii) Acceptance is not inconsistent with the effective and efficient administration of the Medicare program. (d) If the MA Organization does not renew a contract under this subparagraph, CMS will not enter into a contract with the Organization or with any organization whose covered persons, as defined at 42 CFR §422.506(a)(5), also served as covered persons for the non-renewing MA Organization for 2 years unless there are special circumstances that warrant special consideration, as determined by CMS. [422.506(a)] 2. CMS decision not to renew. (a) CMS may elect not to authorize renewal of a contract for any of the following reasons: (i) For any of the reasons listed in 42 CFR §422.510(a) which would also permit CMS to terminate the contract. (ii) The MA Organization has committed any of the acts in 42 CFR §422.752(a) that would support the imposition of intermediate sanctions or civil money penalties under 42 CFR Part 422 Subpart O. (iii) The MA Organization did not submit a benefit and price bid or the benefit and price bid was not acceptable [422.505(d)]