# Penalty for a Medicare Advantage organization that substantially fails to provide medically necessary, required items and services — Federal civil penalty maximums — current inflation-adjusted amounts across agencies

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, not quoted from the source)_
- **Violation:** Penalty for a Medicare Advantage organization that substantially fails to provide medically necessary, required items and services _(verified: appears in the quote below)_
- **Statutory authority:** 1395w-27(g)(2)(A) _(verified: appears in the quote below)_
- **Maximum penalty:** 49,848 _(verified: appears in the quote below)_

## 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

## Source

- https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-102/section-102.3

Last verified: 2026-08-10. Review by: 2027-02-26.
Part of [Federal civil penalty maximums — current inflation-adjusted amounts across agencies](https://referencesource.org/federal-civil-penalty-maximums/).