Reference Source

Penalty for a Medicare Advantage organization that substantially fails to provide medically necessary, required items and services · 1395w-27(g)(2)(A)

For Penalty for a Medicare Advantage organization that substantially fails to provide medically necessary, required items and services, statutory authority is 1395w-27(g)(2)(A); agency is HHS; 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
Sourceecfr.gov
Verified
Review by
DatasetFederal civil penalty maximums — current inflation-adjusted amounts across agencies

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) | 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

Last verified against source: . Due for re-check by . This page as Markdown · OKF bundle · full dataset as JSON.