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Fiscal Soundness Requirements and Monitoring

Guidance for potential actions the Centers for Medicare and Medicaid Services (CMS) may take to address organizations that are not meeting fiscal soundness requirements, including Medicare Advantage Organizations (MAOs), Medicare-Medicaid Plans (MMPs), Section 1876 Cost Plans (Cost Plans), Prescription Drug Plans (PDPs), and Programs of All-Inclusive Care for the Elderly (PACE) organizations.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 12, 2017

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.