42 CFR 421.203
§ 421.203 Carrier's failure to perform efficiently and effectively.
United States · 42 CFR — Public Health · Status: effective
Cite this
- Citation
- 42 CFR 421.203, § 421.203 Carrier's failure to perform efficiently and effectively, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/204471
- Permanent ID
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Full text
(a) Failure by a carrier to meet, or demonstrate the capacity to meet, the criteria and standards specified in § 421.201 may be grounds for adverse action by the Secretary, such as contract termination or non-renewal.
(b) Notwithstanding whether or not a carrier meets the criteria and standards specified in § 421.201, if the cost incurred by the carrier to meet its contractual requirements exceeds the amount that CMS finds to be reasonable and adequate to meet the cost which must be incurred by an efficiently and economically operated carrier, those high costs may also be grounds for adverse action.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.