42 CFR § 425.220 - Termination of the participation agreement by the ACO.
---
identifier: "/us/cfr/t42/s425.220"
source: "ecfr"
legal_status: "authoritative_unofficial"
title: "42 CFR § 425.220 - Termination of the participation agreement by the ACO."
title_number: 42
title_name: "Public Health"
section_number: "425.220"
section_name: "Termination of the participation agreement by the ACO."
chapter_name: "CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES"
subchapter_number: "B"
subchapter_name: "MEDICARE PROGRAM"
part_number: "425"
part_name: "MEDICARE SHARED SAVINGS 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, 1395hh, and 1395jjj."
regulatory_source: "76 FR 67973, Nov. 2, 2011, unless otherwise noted."
cfr_part: "425"
---
# 425.220 Termination of the participation agreement by the ACO.
(a) *Notice of termination.* An ACO must provide at least 30 days advance written notice to CMS and its ACO participants of its decision to terminate the participation agreement and the effective date of its termination.
(b) [Reserved]
[76 FR 67973, Nov. 2, 2011, as amended at 80 FR 32839, June 9, 2015; 83 FR 68064, Dec. 31, 2018]