Penalty for a Medicare Advantage organization that substantially fails to provide medically necessary, required items and services
For Penalty for a Medicare Advantage organization that substantially fails to provide medically necessary, required items and services, agency is HHS; statutory authority is 1395w-27(g)(2)(A); maximum penalty is 49,848, recorded from its source on 2026-08-10.
- Agency
- HHS our reading
- Violation
- Penalty for a Medicare Advantage organization that substantially fails to provide medically necessary, required items and services verified
- Statutory authority
- 1395w-27(g)(2)(A) verified
- Maximum penalty
- 49,848 verified
Values marked our reading are our classification of what the source says — the source does not print them in those words. The quote below is the evidence for each one; judge it yourself.
What the source says
1395w-27(g)(2)(A) | <https://www.ecfr.gov/current/title-42/section-1003.410> 42 CFR 1003.410 | OIG | Penalty for a Medicare Advantage organization that substantially fails to provide medically necessary, required items and services | 2024 | 48,586 | 49,848
— ecfr.gov, retrieved 2026-08-10
Source
- ecfr.govhttps://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-102/section-102.3