42 CFR § 422.641 - Contract determinations.
---
identifier: "/us/cfr/t42/s422.641"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 422.641 - Contract determinations."
title_number: 42
title_name: "Public Health"
section_number: "422.641"
section_name: "Contract determinations."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "422"
part_name: "MEDICARE ADVANTAGE PROGRAM"
positive_law: false
currency: "2026-04-05"
last_updated: "2026-04-05"
format_version: "1.1.0"
generator: "[email protected]"
authority: "42 U.S.C. 1302, 1306, 1395w-21 through 1395w-28, and 1395hh."
regulatory_source: "63 FR 18134, Apr. 14, 1998, unless otherwise noted."
cfr_part: "422"
---
# 422.641 Contract determinations.
This subpart establishes the procedures for making and reviewing the following contract determinations:
(a) A determination that an entity is not qualified to enter into a contract with CMS under Part C of title XVIII of the Act.
(b) A determination not to authorize a renewal of a contract with an MA organization in accordance with § 422.506(b).
(c) A determination to terminate a contract with an MA organization in accordance with § 422.510(a).
(d) A determination that an entity is not qualified to offer a Specialized MA Plan for Special Needs Individuals as defined in §§ 422.2 and 422.4(a)(1)(iv).
[63 FR 35113, June 26, 1998, as amended at 77 FR 22168, Apr. 12, 2012; 80 FR 7962, Feb. 12, 2015]