[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR403.322]



[Page 50-51]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 403_SPECIAL PROGRAMS AND PROJECTS--Table of Contents

 

      Subpart C_Recognition of State Reimbursement Control Systems

 

Sec. 403.322  Termination of agreements for Medicare recognition of State 

systems.



    (a) Termination of agreements. (1) CMS may terminate any approved 

agreement if it finds, after the procedures described in this paragraph 

are followed that the State system does not satisfactorily meet the 

requirements of section 1886(c) of the Act or the regulations in this 

subpart. A termination must be effective on the last day of a calendar 

quarter.

    (2) CMS will give the State reasonable notice of the proposed 

termination of an agreement and of the reasons for the termination at 

least 90 days before the effective date of the termination.

    (3) CMS will give the State the opportunity to present evidence to 

refute the finding.

    (4) CMS will issue a final notice of termination upon a final review 

and determination on the State's evidence.

    (b) Termination by State. A State may voluntarily terminate a State 

system by giving CMS notice of its intent to



[[Page 51]]



terminate. A termination must be effective on the last day of a calendar 

quarter. The State must notify CMS of its intent to terminate at least 

90 days before the effective date of the termination.



Subpart D [Reserved]