Penalty for a Medicaid managed care organization that fails substantially to provide medically necessary items and services
For Penalty for a Medicaid managed care organization that fails substantially to provide medically necessary items and services, agency is HHS; statutory authority is 1396u-2(e)(2)(A)(i); maximum penalty is 48,833, recorded from its source on 2026-08-10.
- Agency
- HHS our reading
- Violation
- Penalty for a Medicaid managed care organization that fails substantially to provide medically necessary items and services verified
- Statutory authority
- 1396u-2(e)(2)(A)(i) verified
- Maximum penalty
- 48,833 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
1396u-2(e)(2)(A)(i) | <https://www.ecfr.gov/current/title-42/section-438.704> 42 CFR 438.704 | CMS | Penalty for a Medicaid managed care organization that fails substantially to provide medically necessary items and services | 2024 | 47,596 | 48,833
— ecfr.gov, retrieved 2026-08-10
Source
- ecfr.govhttps://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-102/section-102.3