Code of Federal Regulations Title 42. Public Health § 42.421.126 Termination of agreements

(1) Giving written notice of its intention to CMS and to the providers it services at least 180 days before its intended termination date;  and

(2) Giving public notice of its intention by publishing a statement of the effective date of termination at least 60 days before that date. Publication must be in a newspaper of general circulation in each community served by the intermediary.

(1) The Secretary may terminate an agreement if—

(2) If the Secretary decides to terminate an agreement, he or she will offer the intermediary an opportunity for a hearing, in accordance with § 421.128.

(3) If the intermediary does not request a hearing, or if the hearing decision affirms the Secretary's decision, the Secretary will provide reasonable notice of the effective date of termination to—

(4) The providers served by the intermediary will be given the opportunity to nominate another intermediary, in accordance with § 421.104.