42 CFR 417.412
§ 417.412 Qualifying condition: Administration and management.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 417.412, § 417.412 Qualifying condition: Administration and management, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204200
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Full text
The HMO or CMP must demonstrate that it—
(a) Has sufficient administrative capability to carry out the requirements of the contract; and
(b) Does not have any agents or management staff or persons with ownership or control interests who have been convicted of criminal offenses related to their involvement in Medicaid, Medicare, or social service programs under title XX of the Act.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.