Penalty for a Medicaid MCO that substantially fails to provide medically necessary, required items or services · 1396b(m)(5)(B)(i)
For Penalty for a Medicaid MCO that substantially fails to provide medically necessary, required items or services, statutory authority is 1396b(m)(5)(B)(i); agency is HHS; maximum penalty is 65,653, recorded from its source on 2026-08-10.
- Agency
- HHS our reading
- Violation
- Penalty for a Medicaid MCO that substantially fails to provide medically necessary, required items or services verified
- Statutory authority
- 1396b(m)(5)(B)(i) verified
- Maximum penalty
- 65,653 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
1396b(m)(5)(B)(i) | 42 CFR 1003.410 | OIG | Penalty for a Medicaid MCO that substantially fails to provide medically necessary, required items or services | 2024 | 63,991 | 65,653
— ecfr.gov, retrieved 2026-08-10
Source
- ecfr.govhttps://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-102/section-102.3