C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER B—MEDICARE PROGRAM › PART 423—VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT › Subpart O—Intermediate Sanctions

42 C.F.R. § 423.750

Types of intermediate sanctions and civil money penalties

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(a) The following intermediate sanctions may be imposed and will continue in effect until CMS is satisfied that the deficiencies that are the basis for the sanction determination have been corrected and are not likely to recur:

(1) Suspension of the Part D plan sponsor's enrollment of Medicare beneficiaries.

(2) Suspension of payment to the Part D plan sponsor for Medicare beneficiaries enrolled after the date CMS notifies the organization of the intermediate sanction.

(3) Suspension of communication activities to Medicare beneficiaries by a Part D plan sponsor, as defined by CMS.

(b) CMS may impose civil money penalties as specified in 423.760.

[72 FR 68734, Dec. 5, 2007, as amended at 75 FR 19824, Apr. 15, 2010; 83 FR 16753, Apr. 16, 2018]
Notes of Decisions
Cited in 1 case, 2013–2013 · leading case: Fox Ins. Co., Inc. v. Centers for Medicare & Medic, 715 F.3d 1211 (9th Cir. 2013).
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Fox Ins. Co., Inc. v. Centers for Medicare & Medic, 715 F.3d 1211 (9th Cir. 2013). “See 42 C.F.R. § 423.750 . This action is not challenged.”
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