Part C and Part D Enforcement Actions https://www.cms.gov/rss/32011 Mon, 20 Apr 2026 04:13:27 -0400 Centers for Medicare and Medicaid ServicesElevanceHealthSanction02272026Fri, 27 Feb 2026 15:29:01 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/elevancehealthsanction02272026https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/elevancehealthsanction02272026action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Fri, 27 Feb 2026 00:00:00 -0500

effective_date: Fri, 27 Feb 2026 15:28:57 -0500

organization_name: Elevance Health, Inc.

]]>PACE4DCSanctionRelease02262026Thu, 26 Feb 2026 14:37:08 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/pace4dcsanctionrelease02262026https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/pace4dcsanctionrelease02262026action_basis: Deficiencies Corrected

action_taken: Sanction Release

action_taken_date: Thu, 26 Feb 2026 00:00:00 -0500

effective_date: Thu, 26 Feb 2026 14:36:51 -0500

organization_name: PACE4DC, LLC

]]>AspirusSanction02242026Tue, 24 Feb 2026 13:13:47 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/aspirussanction02242026https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/aspirussanction02242026action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Tue, 24 Feb 2026 00:00:00 -0500

effective_date: Tue, 24 Feb 2026 13:11:56 -0500

organization_name: Aspirus Health Plan, Inc.

]]>GoldKidneySanctionRelease12312025Wed, 31 Dec 2025 11:08:45 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/goldkidneysanctionrelease12312025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/goldkidneysanctionrelease12312025action_basis: Contract Administration

action_taken: Sanction Release

action_taken_date: Wed, 31 Dec 2025 00:00:00 -0500

effective_date: Wed, 31 Dec 2025 11:08:36 -0500

organization_name: Gold Kidney of Florida, Inc.

]]>AmericanHealthPlanTexasTermination12172025Wed, 17 Dec 2025 14:06:03 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/americanhealthplantexastermination12172025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/americanhealthplantexastermination12172025action_basis: Contract Administration

action_taken: Termination

action_taken_date: Wed, 17 Dec 2025 00:00:00 -0500

effective_date: Wed, 17 Dec 2025 14:05:55 -0500

organization_name: American Health Plan of Texas, Inc.

]]>GoldKidneySanction09292025Mon, 29 Sep 2025 12:34:05 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/goldkidneysanction09292025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/goldkidneysanction09292025action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Mon, 29 Sep 2025 00:00:00 -0400

effective_date: Mon, 29 Sep 2025 12:33:56 -0400

organization_name: Gold Kidney of Florida Inc.

]]>eternalHealthSanctionRelease09182025Wed, 24 Sep 2025 12:15:07 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/eternalhealthsanctionrelease09182025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/eternalhealthsanctionrelease09182025action_basis: Deficiencies Corrected

action_taken: Sanction Release

action_taken_date: Thu, 18 Sep 2025 00:00:00 -0400

effective_date: Thu, 18 Sep 2025 12:15:02 -0400

organization_name: Eternal Health of Delaware, Inc.

]]>UCareTermination09222025Mon, 22 Sep 2025 14:39:35 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/ucaretermination09222025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/ucaretermination09222025action_basis: Contract Administration

action_taken: Termination

action_taken_date: Mon, 22 Sep 2025 00:00:00 -0400

effective_date: Mon, 22 Sep 2025 14:38:07 -0400

organization_name: UCare Minnesota

]]>WellcareMOSanctionRelease08142025Thu, 14 Aug 2025 15:15:23 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcaremosanctionrelease08142025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcaremosanctionrelease08142025action_basis: Deficiencies Corrected

action_taken: Sanction Release

action_taken_date: Thu, 14 Aug 2025 00:00:00 -0400

effective_date: Thu, 14 Aug 2025 15:14:25 -0400

organization_name: Wellcare of Missouri Health Insurance Company, Inc.

]]>FloridaPACESanctionRelease08062025Wed, 06 Aug 2025 15:52:04 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/floridapacesanctionrelease08062025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/floridapacesanctionrelease08062025action_basis: Deficiencies Corrected

action_taken: Sanction Release

action_taken_date: Wed, 06 Aug 2025 00:00:00 -0400

effective_date: Wed, 06 Aug 2025 15:51:12 -0400

organization_name: PACE Partners of Northeast Florida, Inc.

]]>SuncoastPACECMP04112025Fri, 11 Apr 2025 14:22:12 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/suncoastpacecmp04112025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/suncoastpacecmp04112025action_basis: Contract Administration

action_taken: Civil Money Penalty ($47,596)

action_taken_date: Fri, 11 Apr 2025 00:00:00 -0400

effective_date: Fri, 11 Apr 2025 14:21:05 -0400

organization_name: Suncoast PACE, Inc.

]]>LIFENWPAPACECMP04112025Fri, 11 Apr 2025 14:18:24 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/lifenwpapacecmp04112025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/lifenwpapacecmp04112025action_basis: Contract Administration

action_taken: Civil Money Penalty ($47,596)

action_taken_date: Fri, 11 Apr 2025 00:00:00 -0400

effective_date: Fri, 11 Apr 2025 14:17:19 -0400

organization_name: LIFE Northwestern Pennsylvania, LLC

]]>BoldAgePACECMP04112025Fri, 11 Apr 2025 14:13:59 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/boldagepacecmp04112025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/boldagepacecmp04112025action_basis: Contract Administration

action_taken: Civil Money Penalty ($47,596)

action_taken_date: Fri, 11 Apr 2025 00:00:00 -0400

effective_date: Fri, 11 Apr 2025 14:09:55 -0400

organization_name: BoldAge PACE

]]>EternalHealth, Inc.Fri, 04 Apr 2025 15:30:08 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/eternalhealth-inchttps://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/eternalhealth-incaction_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Thu, 03 Apr 2025 00:00:00 -0400

effective_date: Thu, 03 Apr 2025 11:31:04 -0400

organization_name: EternalHealth, Inc.

]]>MolinaCMP04012025Wed, 02 Apr 2025 16:46:13 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/molinacmp04012025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/molinacmp04012025action_basis: Contract Administration

action_taken: Civil Money Penalty ($285,476)

action_taken_date: Tue, 01 Apr 2025 00:00:00 -0400

effective_date: Tue, 01 Apr 2025 20:47:06 -0400

organization_name: Molina Healthcare, Inc.

]]>CenteneCMP04012025Wed, 02 Apr 2025 16:44:49 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/centenecmp04012025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/centenecmp04012025action_basis: Contract Administration

action_taken: Civil Money Penalty ($20,648)

action_taken_date: Tue, 01 Apr 2025 00:00:00 -0400

effective_date: Tue, 01 Apr 2025 20:45:44 -0400

organization_name: Centene Corporation

]]>PresbyterianCMP04012025Wed, 02 Apr 2025 16:43:19 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/presbyteriancmp04012025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/presbyteriancmp04012025action_basis: Contract Administration

action_taken: Civil Money Penalty ($14,152)

action_taken_date: Tue, 01 Apr 2025 00:00:00 -0400

effective_date: Tue, 01 Apr 2025 20:47:19 -0400

organization_name: Presbyterian Health Plan

]]>GeisingerCMP04012025Wed, 02 Apr 2025 16:41:41 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/geisingercmp04012025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/geisingercmp04012025action_basis: Contract Administration

action_taken: Civil Money Penalty ($5,800)

action_taken_date: Tue, 01 Apr 2025 00:00:00 -0400

effective_date: Tue, 01 Apr 2025 20:42:50 -0400

organization_name: Geisinger Health Plan

]]>BCBSTNCMP04012025Wed, 02 Apr 2025 16:40:05 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbstncmp04012025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbstncmp04012025action_basis: Contract Administration

action_taken: Civil Money Penalty ($21,692)

action_taken_date: Tue, 01 Apr 2025 00:00:00 -0400

effective_date: Tue, 01 Apr 2025 20:45:12 -0400

organization_name: BlueCross BlueShield of Tennessee, Inc.

]]>Point32HealthCMP04012025Wed, 02 Apr 2025 16:38:08 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/point32healthcmp04012025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/point32healthcmp04012025action_basis: Contract Administration

action_taken: Civil Money Penalty ($55,796)

action_taken_date: Tue, 01 Apr 2025 00:00:00 -0400

effective_date: Tue, 01 Apr 2025 20:40:37 -0400

organization_name: Point32 Health, Inc

]]>AwareCMP04012025Wed, 02 Apr 2025 16:35:02 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/awarecmp04012025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/awarecmp04012025action_basis: Contract Administration

action_taken: Civil Money Penalty ($31,088)

action_taken_date: Tue, 01 Apr 2025 00:00:00 -0400

effective_date: Tue, 01 Apr 2025 20:38:56 -0400

organization_name: Aware Integrated Inc.

]]>MolinaCMP01172025Fri, 17 Jan 2025 11:37:01 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/molinacmp01172025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/molinacmp01172025action_basis: Contract Administration

action_taken: Civil Money Penalty ($67,976)

action_taken_date: Fri, 17 Jan 2025 00:00:00 -0500

effective_date: Fri, 17 Jan 2025 11:36:44 -0500

organization_name: Molina Healthcare, Inc.

]]>ElevanceHealthCMP01172025Fri, 17 Jan 2025 11:31:24 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/elevancehealthcmp01172025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/elevancehealthcmp01172025action_basis: Contract Administration

action_taken: Civil Money Penalty ($149,060)

action_taken_date: Fri, 17 Jan 2025 00:00:00 -0500

effective_date: Fri, 17 Jan 2025 11:30:24 -0500

organization_name: Elevance Health, Inc.

]]>CarleFoundationCMP01172025Fri, 17 Jan 2025 11:24:42 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/carlefoundationcmp01172025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/carlefoundationcmp01172025action_basis: Contract Administration

action_taken: Civil Money Penalty ($101,500)

action_taken_date: Fri, 17 Jan 2025 00:00:00 -0500

effective_date: Fri, 17 Jan 2025 11:24:23 -0500

organization_name: The Carle Foundation

]]>MedcoCMP01172025Fri, 17 Jan 2025 11:19:46 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/medcocmp01172025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/medcocmp01172025action_basis: Contract Administration

action_taken: Civil Money Penalty ($32,364)

action_taken_date: Fri, 17 Jan 2025 00:00:00 -0500

effective_date: Fri, 17 Jan 2025 11:18:59 -0500

organization_name: Medco Containment Life and Medco Containment NY

]]>BSWCMP01172025Fri, 17 Jan 2025 11:09:49 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bswcmp01172025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bswcmp01172025action_basis: Contract Administration

action_taken: Civil Money Penalty ($37,816)

action_taken_date: Fri, 17 Jan 2025 00:00:00 -0500

effective_date: Fri, 17 Jan 2025 11:09:16 -0500

organization_name: Baylor Scott & White Holdings

]]>CenteneCMP01172025Fri, 17 Jan 2025 11:04:23 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/centenecmp01172025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/centenecmp01172025action_basis: Contract Administration

action_taken: Civil Money Penalty ($2,000,000)

action_taken_date: Fri, 17 Jan 2025 00:00:00 -0500

effective_date: Fri, 17 Jan 2025 11:03:39 -0500

organization_name: Centene Corporation

]]>HumanaCMP01172025Fri, 17 Jan 2025 10:59:04 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/humanacmp01172025https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/humanacmp01172025action_basis: Contract Administration

action_taken: Civil Money Penalty ($99,064)

action_taken_date: Fri, 17 Jan 2025 00:00:00 -0500

effective_date: Fri, 17 Jan 2025 10:57:34 -0500

organization_name: Humana Inc.

]]>WellcareMOSanction09062024Fri, 06 Sep 2024 13:21:24 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcaremosanction09062024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcaremosanction09062024action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Fri, 06 Sep 2024 00:00:00 -0400

effective_date: Wed, 01 Jan 2025 00:00:00 -0500

organization_name: Wellcare of Missouri Health Insurance Company, Inc.

]]>CareImprovementPlusSanctionRelease09062024Fri, 06 Sep 2024 13:04:26 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/careimprovementplussanctionrelease09062024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/careimprovementplussanctionrelease09062024action_basis: Deficiencies Corrected

action_taken: Sanction Release

action_taken_date: Fri, 06 Sep 2024 00:00:00 -0400

effective_date: Wed, 01 Jan 2025 00:00:00 -0500

organization_name: Care Improvement Plus South Central Insurance Co.

]]>PACE4DCSanction08232024Fri, 23 Aug 2024 13:17:01 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/pace4dcsanction08232024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/pace4dcsanction08232024action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Fri, 23 Aug 2024 00:00:00 -0400

effective_date: Sat, 24 Aug 2024 00:00:00 -0400

organization_name: PACE4DC, LLC

]]>ZingTermination-SanctionRetraction06252024Tue, 25 Jun 2024 15:58:40 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/zingtermination-sanctionretraction06252024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/zingtermination-sanctionretraction06252024action_basis: Contract Administration

action_taken: Termination Retraction

action_taken_date: Tue, 25 Jun 2024 00:00:00 -0400

effective_date: Tue, 25 Jun 2024 15:56:35 -0400

organization_name: Zing Health, Inc.

]]>FloridaPACESanction05172024Fri, 17 May 2024 14:10:30 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/floridapacesanction05172024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/floridapacesanction05172024action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Fri, 17 May 2024 00:00:00 -0400

effective_date: Sat, 18 May 2024 00:00:00 -0400

organization_name: PACE Partners of Northeast Florida, Inc.

]]>VillageSeniorServicesCMP03212024Thu, 21 Mar 2024 15:05:48 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/villageseniorservicescmp03212024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/villageseniorservicescmp03212024action_basis: Contract Administration

action_taken: Civil Money Penalty ($10,208)

action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400

effective_date: Thu, 21 Mar 2024 15:04:16 -0400

organization_name: Village Senior Services Corporation

]]>AstivaHealthCMP03212024Thu, 21 Mar 2024 14:31:07 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/astivahealthcmp03212024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/astivahealthcmp03212024action_basis: Contract Administration

action_taken: Civil Money Penalty ($6,380)

action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400

effective_date: Thu, 21 Mar 2024 14:30:25 -0400

organization_name: Astiva Health, Inc.

]]>CAPhysiciansServiceCMP03212024Thu, 21 Mar 2024 14:19:45 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/caphysiciansservicecmp03212024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/caphysiciansservicecmp03212024action_basis: Contract Administration

action_taken: Civil Money Penalty ($30,160)

action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400

effective_date: Thu, 21 Mar 2024 14:16:47 -0400

organization_name: California Physicians' Service

]]>BCBSMIMutualCMP03212024Thu, 21 Mar 2024 13:24:07 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbsmimutualcmp03212024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbsmimutualcmp03212024action_basis: Contract Administration

action_taken: Civil Money Penalty ($7,424)

action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400

effective_date: Thu, 21 Mar 2024 13:23:27 -0400

organization_name: Blue Cross Blue Shield of Michigan Mutual Insurance Company

]]>CapitalDistrictCMP03212024Thu, 21 Mar 2024 11:42:37 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/capitaldistrictcmp03212024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/capitaldistrictcmp03212024action_basis: Contract Administration

action_taken: Civil Money Penalty ($17,864)

action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400

effective_date: Thu, 21 Mar 2024 11:41:44 -0400

organization_name: Capital District Physicians' Health Plan, Inc.

]]>USAbleCMP03212024Thu, 21 Mar 2024 11:11:12 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/usablecmp03212024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/usablecmp03212024action_basis: Contract Administration

action_taken: Civil Money Penalty ($5,336)

action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400

effective_date: Thu, 21 Mar 2024 11:10:17 -0400

organization_name: USAble Mutual Insurance Company

]]>CareSourceCMP03212024Thu, 21 Mar 2024 10:54:58 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/caresourcecmp03212024https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/caresourcecmp03212024action_basis: Contract Administration

action_taken: Civil Money Penalty ($27,898)

action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400

effective_date: Thu, 21 Mar 2024 10:52:57 -0400

organization_name: CareSource Ohio, Inc.

]]>WellCare of NC Termination-Sanction Notice 12272023Wed, 27 Dec 2023 15:35:31 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcare-nc-termination-sanction-notice-12272023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcare-nc-termination-sanction-notice-12272023action_basis: Contract Administration

action_taken: Termination

action_taken_date: Wed, 27 Dec 2023 00:00:00 -0500

effective_date: Wed, 27 Dec 2023 15:35:05 -0500

organization_name: WellCare Health Insurance of North Carolina, Inc.

]]>WellCare of AZ Termination-Sanction Notice 12272023Wed, 27 Dec 2023 15:31:26 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcare-az-termination-sanction-notice-12272023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcare-az-termination-sanction-notice-12272023action_basis: Contract Administration

action_taken: Termination

action_taken_date: Wed, 27 Dec 2023 00:00:00 -0500

effective_date: Wed, 27 Dec 2023 15:30:39 -0500

organization_name: WellCare Health Insurance of Arizona, Inc.

]]>UCareMinnesotaCMP12062023Wed, 06 Dec 2023 15:35:23 -0500https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/ucareminnesotacmp12062023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/ucareminnesotacmp12062023action_basis: Contract Administration

action_taken: Civil Money Penalty ($13,224)

action_taken_date: Wed, 06 Dec 2023 00:00:00 -0500

effective_date: Wed, 06 Dec 2023 15:33:39 -0500

organization_name: UCare Minnesota

]]>MedicaCMP11022023Thu, 02 Nov 2023 14:31:19 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/medicacmp11022023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/medicacmp11022023action_basis: Contract Administration

action_taken: Civil Money Penalty ($62,060)

action_taken_date: Thu, 02 Nov 2023 00:00:00 -0400

effective_date: Thu, 02 Nov 2023 14:29:24 -0400

organization_name: Medica Holding Company

]]>CenteneCMP11022023Thu, 02 Nov 2023 14:23:49 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/centenecmp11022023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/centenecmp11022023action_basis: Contract Administration

action_taken: Civil Money Penalty ($49,764)

action_taken_date: Thu, 02 Nov 2023 00:00:00 -0400

effective_date: Thu, 02 Nov 2023 14:23:00 -0400

organization_name: Centene Corporation

]]>BCBSRICMP11022023Thu, 02 Nov 2023 14:06:11 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbsricmp11022023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbsricmp11022023action_basis: Contract Administration

action_taken: Civil Money Penalty ($24,940)

action_taken_date: Thu, 02 Nov 2023 00:00:00 -0400

effective_date: Thu, 02 Nov 2023 14:05:52 -0400

organization_name: Blue Cross & Blue Shield of Rhode Island

]]>AvMedCMP11022023Thu, 02 Nov 2023 13:56:38 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/avmedcmp11022023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/avmedcmp11022023action_basis: Contract Administration

action_taken: Civil Money Penalty ($5,336)

action_taken_date: Thu, 02 Nov 2023 00:00:00 -0400

effective_date: Thu, 02 Nov 2023 13:55:32 -0400

organization_name: AvMed, Inc.

]]>Clear Spring Termination-Sanction 10132023Mon, 16 Oct 2023 09:15:35 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/clear-spring-termination-sanction-10132023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/clear-spring-termination-sanction-10132023action_basis: Contract Administration

action_taken: Termination

action_taken_date: Fri, 13 Oct 2023 00:00:00 -0400

effective_date: Fri, 13 Oct 2023 09:13:54 -0400

organization_name: Clear Spring Health Insurance Company

]]>UHCRiverValleyRelease09192023Tue, 19 Sep 2023 10:56:46 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/uhcrivervalleyrelease09192023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/uhcrivervalleyrelease09192023action_basis: Deficiencies Corrected

action_taken: Sanction Release

action_taken_date: Tue, 19 Sep 2023 00:00:00 -0400

effective_date: Mon, 01 Jan 2024 10:53:58 -0500

organization_name: UnitedHealthCare Plan of the River Valley, Inc.

]]>CareImprovementPlusSanction09192023Tue, 19 Sep 2023 10:35:49 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/careimprovementplussanction09192023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/careimprovementplussanction09192023action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Tue, 19 Sep 2023 00:00:00 -0400

effective_date: Tue, 19 Sep 2023 10:34:20 -0400

organization_name: Care Improvement Plus South Central Co.

]]>AultmanHealthCMP08072023Mon, 07 Aug 2023 16:05:27 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/aultmanhealthcmp08072023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/aultmanhealthcmp08072023action_basis: Contract Administration

action_taken: Civil Money Penalty ($162,632)

action_taken_date: Mon, 07 Aug 2023 00:00:00 -0400

effective_date: Mon, 07 Aug 2023 04:05:00 -0400

organization_name: Aultman Health Foundation

]]>EmblemHealthCMP08072023Mon, 07 Aug 2023 16:00:18 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/emblemhealthcmp08072023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/emblemhealthcmp08072023action_basis: Contract Administration

action_taken: Civil Money Penalty ($19,024)

action_taken_date: Mon, 07 Aug 2023 00:00:00 -0400

effective_date: Mon, 07 Aug 2023 04:00:00 -0400

organization_name: EmblemHealth, Inc.

]]>ModaHealthCMP08072023Mon, 07 Aug 2023 15:38:33 -0400https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/modahealthcmp08072023https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/modahealthcmp08072023action_basis: Contract Administration

action_taken: Civil Money Penalty ($5,800)

action_taken_date: Mon, 07 Aug 2023 00:00:00 -0400

effective_date: Mon, 07 Aug 2023 04:00:00 -0400

organization_name: Moda Health Plan, Inc.

]]>EmblemHealthCMP05232023Tue, 23 May 2023 12:16:23 -0400https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/emblemhealthcmp05232023https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/emblemhealthcmp05232023action_basis: Contract Administration

action_taken: Civil Money Penalty ($116,288)

action_taken_date: Tue, 23 May 2023 12:14:52 -0400

effective_date: Tue, 23 May 2023 12:00:00 -0400

organization_name: EmblemHealth, Inc.

]]>ImperialCMP03162023Thu, 16 Mar 2023 14:53:06 -0400https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/imperialcmp03162023https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/imperialcmp03162023action_basis: Contract Administration

action_taken: Civil Money Penalty ($39,208)

action_taken_date: Thu, 16 Mar 2023 14:51:54 -0400

effective_date: Thu, 16 Mar 2023 12:00:00 -0400

organization_name: Imperial Health Plan of California

]]>IndependenceCMP03162023Thu, 16 Mar 2023 14:50:14 -0400https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/independencecmp03162023https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/independencecmp03162023action_basis: Contract Administration

action_taken: Civil Money Penalty ($6,032)

action_taken_date: Thu, 16 Mar 2023 14:48:38 -0400

effective_date: Thu, 16 Mar 2023 12:00:00 -0400

organization_name: Independence Health Group, Inc.

]]>IntermountainCMP03162023Thu, 16 Mar 2023 14:46:52 -0400https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/intermountaincmp03162023https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/intermountaincmp03162023action_basis: Contract Administration

action_taken: Civil Money Penalty ($17,980)

action_taken_date: Thu, 16 Mar 2023 14:45:22 -0400

effective_date: Thu, 16 Mar 2023 12:00:00 -0400

organization_name: Intermountain Health Care, Inc.

]]>ImperialTermination02222023Wed, 22 Feb 2023 14:04:35 -0500https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/imperialtermination02222023https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/imperialtermination02222023action_basis: Contract Administration

action_taken: Termination

action_taken_date: Wed, 22 Feb 2023 14:02:47 -0500

effective_date: Sun, 31 Dec 2023 12:00:00 -0500

organization_name: Imperial Health Plan of California

]]>InnovAgeCORelease01232023Fri, 20 Jan 2023 09:49:38 -0500https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/innovagecorelease01232023https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/innovagecorelease01232023action_basis: Deficiencies Corrected

action_taken: Sanction Release

action_taken_date: Mon, 23 Jan 2023 09:48:58 -0500

effective_date: Mon, 23 Jan 2023 12:00:00 -0500

organization_name: InnovAge Colorado PACE

]]>ElevanceCMP11302022Wed, 30 Nov 2022 11:30:11 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/elevancecmp11302022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/elevancecmp11302022action_basis: Contract Administration

action_taken: Civil Money Penalty ($38,512)

action_taken_date: Wed, 30 Nov 2022 11:28:48 -0500

effective_date: Wed, 30 Nov 2022 12:00:00 -0500

organization_name: Elevance Health

]]>HumanaCMP11302022Wed, 30 Nov 2022 11:24:15 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/humanacmp11302022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/humanacmp11302022action_basis: Contract Administration

action_taken: Civil Money Penalty ($131,660)

action_taken_date: Wed, 30 Nov 2022 11:22:37 -0500

effective_date: Wed, 30 Nov 2022 12:00:00 -0500

organization_name: Humana, Inc.

]]>KaiserCMP11302022Wed, 30 Nov 2022 11:06:29 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/kaisercmp11302022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/kaisercmp11302022action_basis: Contract Administration

action_taken: Civil Money Penalty ($27,260)

action_taken_date: Wed, 30 Nov 2022 11:04:36 -0500

effective_date: Wed, 30 Nov 2022 12:00:00 -0500

organization_name: Kaiser Foundation Health Plan, Inc.

]]>InnovAgeCASanctionRelease11212022Mon, 21 Nov 2022 09:38:50 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecasanctionrelease11212022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecasanctionrelease11212022action_basis: Deficiencies Corrected

action_taken: Sanction Release

action_taken_date: Mon, 21 Nov 2022 09:36:34 -0500

effective_date: Mon, 21 Nov 2022 12:00:00 -0500

organization_name: InnovAge California PACE – Sacramento, LLC

]]>UHCRiverValleySanction09202022Tue, 20 Sep 2022 10:09:48 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcrivervalleysanction09202022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcrivervalleysanction09202022action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Tue, 20 Sep 2022 10:06:43 -0400

effective_date: Tue, 20 Sep 2022 12:00:00 -0400

organization_name: UnitedHealthcare Plan of the River Valley, Inc.

]]>UHCMidwestSanctionRelease09202022Tue, 20 Sep 2022 10:03:12 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcmidwestsanctionrelease09202022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcmidwestsanctionrelease09202022effective_date: Sun, 01 Jan 2023 12:00:00 -0500

organization_name: UnitedHealthcare of the Midwest, Inc.

]]>UHCArkansasSanctionRelease09202022Tue, 20 Sep 2022 09:37:17 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcarkansassanctionrelease09202022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcarkansassanctionrelease09202022effective_date: Sun, 01 Jan 2023 12:00:00 -0500

organization_name: UnitedHealthcare of Arkansas, Inc.

]]>TripleSSanctionRelease09202022Tue, 20 Sep 2022 09:19:34 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triplessanctionrelease09202022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triplessanctionrelease09202022effective_date: Sun, 01 Jan 2023 12:00:00 -0500

organization_name: Triple S Advantage, Inc.

]]>UHCNewMexicoSanctionRelease09202022Tue, 20 Sep 2022 09:13:10 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcnewmexicosanctionrelease09202022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcnewmexicosanctionrelease09202022effective_date: Sun, 01 Jan 2023 12:00:00 -0500

organization_name: UnitedHealthcare of New Mexico, Inc.

]]>MMMHealthcareSanctionRelease09202022Tue, 20 Sep 2022 09:03:18 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/mmmhealthcaresanctionrelease09202022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/mmmhealthcaresanctionrelease09202022effective_date: Sun, 01 Jan 2023 12:00:00 -0500

organization_name: MMM Healthcare, LLC

]]>AnthemCMP04052022Tue, 05 Apr 2022 09:47:48 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/anthemcmp04052022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/anthemcmp04052022effective_date: Tue, 05 Apr 2022 12:00:00 -0400

organization_name: Anthem Inc.

]]>CenteneCMP03222022Tue, 22 Mar 2022 11:11:26 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/centenecmp03222022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/centenecmp03222022effective_date: Tue, 22 Mar 2022 12:00:00 -0400

organization_name: Centene Corporation

]]>MolinaCMP03222022Tue, 22 Mar 2022 11:05:10 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/molinacmp03222022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/molinacmp03222022effective_date: Tue, 22 Mar 2022 12:00:00 -0400

organization_name: Molina Healthcare, Inc.

]]>CIGNACMP03222022Tue, 22 Mar 2022 10:49:03 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/cignacmp03222022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/cignacmp03222022effective_date: Tue, 22 Mar 2022 12:00:00 -0400

organization_name: CIGNA

]]>EmblemHealthCMP03222022Tue, 22 Mar 2022 10:42:05 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/emblemhealthcmp03222022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/emblemhealthcmp03222022effective_date: Tue, 22 Mar 2022 12:00:00 -0400

organization_name: EmblemHealth, Inc.

]]>BCBSTNCMP03222022Tue, 22 Mar 2022 10:33:59 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/bcbstncmp03222022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/bcbstncmp03222022action_basis: Contract Administration

action_taken: Civil Money Penalty ($142,676)

action_taken_date: Tue, 22 Mar 2022 10:32:47 -0400

effective_date: Tue, 22 Mar 2022 12:00:00 -0400

organization_name: BlueCross BlueShield of Tennessee

]]>GuidewellCMP03222022Tue, 22 Mar 2022 10:22:42 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/guidewellcmp03222022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/guidewellcmp03222022effective_date: Tue, 22 Mar 2022 12:00:00 -0400

organization_name: Guidewell Mutual Holding Corporation

]]>VibraHealthCMP02252022Fri, 25 Feb 2022 16:19:31 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vibrahealthcmp02252022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vibrahealthcmp02252022effective_date: Fri, 25 Feb 2022 12:00:00 -0500

organization_name: Vibra Health Plan, Inc.

]]>NetworkHealthCMP02252022Fri, 25 Feb 2022 16:14:39 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/networkhealthcmp02252022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/networkhealthcmp02252022effective_date: Fri, 25 Feb 2022 12:00:00 -0500

organization_name: Network Health Insurance Corporation

]]>GlobalHealthCMP02252022Fri, 25 Feb 2022 16:08:05 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/globalhealthcmp02252022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/globalhealthcmp02252022effective_date: Fri, 25 Feb 2022 12:00:00 -0500

organization_name: Global Health Inc.

]]>IndependenceCMP02252022Fri, 25 Feb 2022 15:57:08 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/independencecmp02252022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/independencecmp02252022effective_date: Fri, 25 Feb 2022 12:00:00 -0500

organization_name: Independence Health Group, Inc.

]]>CaresourceCMP02252022Fri, 25 Feb 2022 15:46:16 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/caresourcecmp02252022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/caresourcecmp02252022effective_date: Fri, 25 Feb 2022 12:00:00 -0500

organization_name: CareSource Ohio Inc.

]]>CIGNACMP02252022Fri, 25 Feb 2022 15:40:00 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/cignacmp02252022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/cignacmp02252022effective_date: Fri, 25 Feb 2022 12:00:00 -0500

organization_name: CIGNA

]]>ParamountCareCMP02252022Fri, 25 Feb 2022 15:27:36 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/paramountcarecmp02252022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/paramountcarecmp02252022effective_date: Fri, 25 Feb 2022 12:00:00 -0500

organization_name: Paramount Care Inc.

]]>CaliforniaPhysiciansServiceCMP02242022Thu, 24 Feb 2022 10:54:31 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/californiaphysiciansservicecmp02242022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/californiaphysiciansservicecmp02242022effective_date: Thu, 24 Feb 2022 12:00:00 -0500

organization_name: California Physicians' Service

]]>VitalityHealthSanctionRelease01202022Wed, 19 Jan 2022 13:52:16 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vitalityhealthsanctionrelease01202022https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vitalityhealthsanctionrelease01202022effective_date: Tue, 04 Jan 2022 12:00:00 -0500

organization_name: Vitality Health Plan of California, Inc.

]]>InnovageCOSanctionRD12222021Wed, 22 Dec 2021 11:39:52 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecosanctionrd12222021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecosanctionrd12222021action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Wed, 22 Dec 2021 11:38:56 -0500

effective_date: Wed, 22 Dec 2021 12:00:00 -0500

organization_name: InnovAge Colorado PACE

]]>ClearSpringHealthCMP12062021Mon, 06 Dec 2021 12:44:05 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/clearspringhealthcmp12062021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/clearspringhealthcmp12062021effective_date: Mon, 06 Dec 2021 12:00:00 -0500

organization_name: Clear Spring Health Insurance Company

]]>eternalHealthofDESanctionRelease12032021Mon, 06 Dec 2021 10:10:17 -0500https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/eternalhealthofdesanctionrelease12032021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/eternalhealthofdesanctionrelease12032021effective_date: Thu, 02 Dec 2021 12:00:00 -0500

organization_name: Eternal Health of Delaware, Inc.

]]>EternalHealthofDESanctionNotice10262021Tue, 26 Oct 2021 15:59:31 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/eternalhealthofdesanctionnotice10262021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/eternalhealthofdesanctionnotice10262021effective_date: Wed, 27 Oct 2021 12:00:00 -0400

organization_name: Eternal Health of Delaware, Inc.

]]>ImperialAZSanctionRelease10072021Thu, 07 Oct 2021 11:12:57 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/imperialazsanctionrelease10072021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/imperialazsanctionrelease10072021effective_date: Tue, 05 Oct 2021 12:00:00 -0400

organization_name: Imperial Insurance Companies, Inc.

]]>InnovageCASanctionRD09172021Fri, 17 Sep 2021 12:19:14 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecasanctionrd09172021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecasanctionrd09172021action_basis: Contract Administration

action_taken: Suspension of Enrollment

action_taken_date: Fri, 17 Sep 2021 12:16:53 -0400

effective_date: Fri, 17 Sep 2021 12:00:00 -0400

organization_name: InnovAge California PACE – Sacramento, LLC

]]>UnitedoftheMidwestSanction09022021Thu, 02 Sep 2021 14:02:23 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofthemidwestsanction09022021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofthemidwestsanction09022021effective_date: Thu, 02 Sep 2021 12:00:00 -0400

organization_name: UnitedHealthcare of the Midwest, Inc.

]]>UnitedofNewMexicoSanction09022021Thu, 02 Sep 2021 13:57:28 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofnewmexicosanction09022021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofnewmexicosanction09022021effective_date: Thu, 02 Sep 2021 12:00:00 -0400

organization_name: UnitedHealthcare of New Mexico, Inc.

]]>UnitedofArkansasSanction09022021Thu, 02 Sep 2021 13:52:36 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofarkansassanction09022021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofarkansassanction09022021effective_date: Thu, 02 Sep 2021 12:00:00 -0400

organization_name: UnitedHealthcare of Arkansas, Inc.

]]>Triple-SAdvantageSanction09022021Thu, 02 Sep 2021 13:46:57 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triple-sadvantagesanction09022021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triple-sadvantagesanction09022021effective_date: Thu, 02 Sep 2021 12:00:00 -0400

organization_name: Triple-S Advantage, Inc.

]]>MMMHealthcareSanction09022021Thu, 02 Sep 2021 13:41:34 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/mmmhealthcaresanction09022021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/mmmhealthcaresanction09022021effective_date: Thu, 02 Sep 2021 12:00:00 -0400

organization_name: MMM Healthcare, LLC

]]>ImperialAZSanctionNotice06172021Thu, 17 Jun 2021 05:56:46 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/imperialazsanctionnotice06172021https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/imperialazsanctionnotice06172021effective_date: Thu, 17 Jun 2021 12:00:00 -0400

organization_name: Imperial Insurance Companies, Inc.

]]>VitalityHealthSanction07022020Mon, 06 Jul 2020 05:13:42 -0400https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vitalityhealthsanction07022020https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vitalityhealthsanction07022020effective_date: Thu, 02 Jul 2020 12:00:00 -0400

organization_name: Vitality Health Plan of California, Inc.

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