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2025-02-28 14:41:14 -05:00

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<title>Part C and Part D Enforcement Actions</title>
<link>https://www.cms.gov/rss/32011</link>
<description/>
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<lastBuildDate>Tue, 25 Feb 2025 22:11:45 -0500</lastBuildDate>
<generator>Centers for Medicare and Medicaid Services</generator><item><title>MolinaCMP01172025</title><pubDate>Fri, 17 Jan 2025 11:37:01 -0500</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/molinacmp01172025</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/molinacmp01172025</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($67,976)</p><p>action_taken_date: Fri, 17 Jan 2025 00:00:00 -0500</p><p>effective_date: Fri, 17 Jan 2025 11:36:44 -0500</p><p>organization_name: Molina Healthcare, Inc.</p>]]></description></item><item><title>ElevanceHealthCMP01172025</title><pubDate>Fri, 17 Jan 2025 11:31:24 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-0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/villageseniorservicescmp03212024</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/villageseniorservicescmp03212024</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($10,208)</p><p>action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400</p><p>effective_date: Thu, 21 Mar 2024 15:04:16 -0400</p><p>organization_name: Village Senior Services Corporation</p>]]></description></item><item><title>AstivaHealthCMP03212024</title><pubDate>Thu, 21 Mar 2024 14:31:07 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/astivahealthcmp03212024</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/astivahealthcmp03212024</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($6,380)</p><p>action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400</p><p>effective_date: Thu, 21 Mar 2024 14:30:25 -0400</p><p>organization_name: Astiva Health, Inc.</p>]]></description></item><item><title>CAPhysiciansServiceCMP03212024</title><pubDate>Thu, 21 Mar 2024 14:19:45 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/caphysiciansservicecmp03212024</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/caphysiciansservicecmp03212024</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($30,160)</p><p>action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400</p><p>effective_date: Thu, 21 Mar 2024 14:16:47 -0400</p><p>organization_name: California Physicians' Service</p>]]></description></item><item><title>BCBSMIMutualCMP03212024</title><pubDate>Thu, 21 Mar 2024 13:24:07 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbsmimutualcmp03212024</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbsmimutualcmp03212024</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($7,424)</p><p>action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400</p><p>effective_date: Thu, 21 Mar 2024 13:23:27 -0400</p><p>organization_name: Blue Cross Blue Shield of Michigan Mutual Insurance Company</p>]]></description></item><item><title>CapitalDistrictCMP03212024</title><pubDate>Thu, 21 Mar 2024 11:42:37 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/capitaldistrictcmp03212024</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/capitaldistrictcmp03212024</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($17,864)</p><p>action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400</p><p>effective_date: Thu, 21 Mar 2024 11:41:44 -0400</p><p>organization_name: Capital District Physicians' Health Plan, Inc.</p>]]></description></item><item><title>USAbleCMP03212024</title><pubDate>Thu, 21 Mar 2024 11:11:12 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Administration</p><p>action_taken: Civil Money Penalty ($27,898)</p><p>action_taken_date: Thu, 21 Mar 2024 00:00:00 -0400</p><p>effective_date: Thu, 21 Mar 2024 10:52:57 -0400</p><p>organization_name: CareSource Ohio, Inc.</p>]]></description></item><item><title>WellCare of NC Termination-Sanction Notice 12272023</title><pubDate>Wed, 27 Dec 2023 15:35:31 -0500</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcare-nc-termination-sanction-notice-12272023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcare-nc-termination-sanction-notice-12272023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Termination</p><p>action_taken_date: Wed, 27 Dec 2023 00:00:00 -0500</p><p>effective_date: Wed, 27 Dec 2023 15:35:05 -0500</p><p>organization_name: WellCare Health Insurance of North Carolina, Inc.</p>]]></description></item><item><title>WellCare of AZ Termination-Sanction Notice 12272023</title><pubDate>Wed, 27 Dec 2023 15:31:26 -0500</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcare-az-termination-sanction-notice-12272023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/wellcare-az-termination-sanction-notice-12272023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Termination</p><p>action_taken_date: Wed, 27 Dec 2023 00:00:00 -0500</p><p>effective_date: Wed, 27 Dec 2023 15:30:39 -0500</p><p>organization_name: WellCare Health Insurance of Arizona, Inc.</p>]]></description></item><item><title>Zing Health Termination-Sanction 12272023</title><pubDate>Wed, 27 Dec 2023 15:26:51 -0500</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/zing-health-termination-sanction-12272023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/zing-health-termination-sanction-12272023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Termination</p><p>action_taken_date: Wed, 27 Dec 2023 00:00:00 -0500</p><p>effective_date: Wed, 27 Dec 2023 15:25:51 -0500</p><p>organization_name: Zing Health, Inc.</p>]]></description></item><item><title>UCareMinnesotaCMP12062023</title><pubDate>Wed, 06 Dec 2023 15:35:23 -0500</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/ucareminnesotacmp12062023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/ucareminnesotacmp12062023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($13,224)</p><p>action_taken_date: Wed, 06 Dec 2023 00:00:00 -0500</p><p>effective_date: Wed, 06 Dec 2023 15:33:39 -0500</p><p>organization_name: UCare Minnesota</p>]]></description></item><item><title>MedicaCMP11022023</title><pubDate>Thu, 02 Nov 2023 14:31:19 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/medicacmp11022023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/medicacmp11022023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($62,060)</p><p>action_taken_date: Thu, 02 Nov 2023 00:00:00 -0400</p><p>effective_date: Thu, 02 Nov 2023 14:29:24 -0400</p><p>organization_name: Medica Holding Company</p>]]></description></item><item><title>CenteneCMP11022023</title><pubDate>Thu, 02 Nov 2023 14:23:49 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/centenecmp11022023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/centenecmp11022023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($49,764)</p><p>action_taken_date: Thu, 02 Nov 2023 00:00:00 -0400</p><p>effective_date: Thu, 02 Nov 2023 14:23:00 -0400</p><p>organization_name: Centene Corporation</p>]]></description></item><item><title>BCBSRICMP11022023</title><pubDate>Thu, 02 Nov 2023 14:06:11 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbsricmp11022023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/bcbsricmp11022023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($24,940)</p><p>action_taken_date: Thu, 02 Nov 2023 00:00:00 -0400</p><p>effective_date: Thu, 02 Nov 2023 14:05:52 -0400</p><p>organization_name: Blue Cross &#x26; Blue Shield of Rhode Island</p>]]></description></item><item><title>AvMedCMP11022023</title><pubDate>Thu, 02 Nov 2023 13:56:38 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/avmedcmp11022023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/avmedcmp11022023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($5,336)</p><p>action_taken_date: Thu, 02 Nov 2023 00:00:00 -0400</p><p>effective_date: Thu, 02 Nov 2023 13:55:32 -0400</p><p>organization_name: AvMed, Inc.</p>]]></description></item><item><title>Clear Spring Termination-Sanction 10132023</title><pubDate>Mon, 16 Oct 2023 09:15:35 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/clear-spring-termination-sanction-10132023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/clear-spring-termination-sanction-10132023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Termination</p><p>action_taken_date: Fri, 13 Oct 2023 00:00:00 -0400</p><p>effective_date: Fri, 13 Oct 2023 09:13:54 -0400</p><p>organization_name: Clear Spring Health Insurance Company</p>]]></description></item><item><title>UHCRiverValleyRelease09192023</title><pubDate>Tue, 19 Sep 2023 10:56:46 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/uhcrivervalleyrelease09192023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/uhcrivervalleyrelease09192023</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Tue, 19 Sep 2023 00:00:00 -0400</p><p>effective_date: Mon, 01 Jan 2024 10:53:58 -0500</p><p>organization_name: UnitedHealthCare Plan of the River Valley, Inc.</p>]]></description></item><item><title>CareImprovementPlusSanction09192023</title><pubDate>Tue, 19 Sep 2023 10:35:49 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/careimprovementplussanction09192023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/careimprovementplussanction09192023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Tue, 19 Sep 2023 00:00:00 -0400</p><p>effective_date: Tue, 19 Sep 2023 10:34:20 -0400</p><p>organization_name: Care Improvement Plus South Central Co.</p>]]></description></item><item><title>AultmanHealthCMP08072023</title><pubDate>Mon, 07 Aug 2023 16:05:27 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/aultmanhealthcmp08072023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/aultmanhealthcmp08072023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($162,632)</p><p>action_taken_date: Mon, 07 Aug 2023 00:00:00 -0400</p><p>effective_date: Mon, 07 Aug 2023 04:05:00 -0400</p><p>organization_name: Aultman Health Foundation</p>]]></description></item><item><title>EmblemHealthCMP08072023</title><pubDate>Mon, 07 Aug 2023 16:00:18 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/emblemhealthcmp08072023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/emblemhealthcmp08072023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($19,024)</p><p>action_taken_date: Mon, 07 Aug 2023 00:00:00 -0400</p><p>effective_date: Mon, 07 Aug 2023 04:00:00 -0400</p><p>organization_name: EmblemHealth, Inc.</p>]]></description></item><item><title>ModaHealthCMP08072023</title><pubDate>Mon, 07 Aug 2023 15:38:33 -0400</pubDate><link>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/modahealthcmp08072023</link><guid>https://www.cms.gov//medicare/audits-compliance/part-c-d/part-c-and-part-d-enforcement-actions/modahealthcmp08072023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($5,800)</p><p>action_taken_date: Mon, 07 Aug 2023 00:00:00 -0400</p><p>effective_date: Mon, 07 Aug 2023 04:00:00 -0400</p><p>organization_name: Moda Health Plan, Inc.</p>]]></description></item><item><title>EmblemHealthCMP05232023</title><pubDate>Tue, 23 May 2023 12:16:23 -0400</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/emblemhealthcmp05232023</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/emblemhealthcmp05232023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($116,288)</p><p>action_taken_date: Tue, 23 May 2023 12:14:52 -0400</p><p>effective_date: Tue, 23 May 2023 12:00:00 -0400</p><p>organization_name: EmblemHealth, Inc.</p>]]></description></item><item><title>ImperialCMP03162023</title><pubDate>Thu, 16 Mar 2023 14:53:06 -0400</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/imperialcmp03162023</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/imperialcmp03162023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($39,208)</p><p>action_taken_date: Thu, 16 Mar 2023 14:51:54 -0400</p><p>effective_date: Thu, 16 Mar 2023 12:00:00 -0400</p><p>organization_name: Imperial Health Plan of California</p>]]></description></item><item><title>IndependenceCMP03162023</title><pubDate>Thu, 16 Mar 2023 14:50:14 -0400</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/independencecmp03162023</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/independencecmp03162023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($6,032)</p><p>action_taken_date: Thu, 16 Mar 2023 14:48:38 -0400</p><p>effective_date: Thu, 16 Mar 2023 12:00:00 -0400</p><p>organization_name: Independence Health Group, Inc.</p>]]></description></item><item><title>IntermountainCMP03162023</title><pubDate>Thu, 16 Mar 2023 14:46:52 -0400</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/intermountaincmp03162023</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/intermountaincmp03162023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($17,980)</p><p>action_taken_date: Thu, 16 Mar 2023 14:45:22 -0400</p><p>effective_date: Thu, 16 Mar 2023 12:00:00 -0400</p><p>organization_name: Intermountain Health Care, Inc.</p>]]></description></item><item><title>ImperialTermination02222023</title><pubDate>Wed, 22 Feb 2023 14:04:35 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/imperialtermination02222023</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/imperialtermination02222023</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Termination</p><p>action_taken_date: Wed, 22 Feb 2023 14:02:47 -0500</p><p>effective_date: Sun, 31 Dec 2023 12:00:00 -0500</p><p>organization_name: Imperial Health Plan of California</p>]]></description></item><item><title>InnovAgeCORelease01232023</title><pubDate>Fri, 20 Jan 2023 09:49:38 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/innovagecorelease01232023</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/innovagecorelease01232023</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Mon, 23 Jan 2023 09:48:58 -0500</p><p>effective_date: Mon, 23 Jan 2023 12:00:00 -0500</p><p>organization_name: InnovAge Colorado PACE</p>]]></description></item><item><title>ElevanceCMP11302022</title><pubDate>Wed, 30 Nov 2022 11:30:11 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/elevancecmp11302022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/elevancecmp11302022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($38,512)</p><p>action_taken_date: Wed, 30 Nov 2022 11:28:48 -0500</p><p>effective_date: Wed, 30 Nov 2022 12:00:00 -0500</p><p>organization_name: Elevance Health </p>]]></description></item><item><title>HumanaCMP11302022</title><pubDate>Wed, 30 Nov 2022 11:24:15 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/humanacmp11302022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/humanacmp11302022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($131,660)</p><p>action_taken_date: Wed, 30 Nov 2022 11:22:37 -0500</p><p>effective_date: Wed, 30 Nov 2022 12:00:00 -0500</p><p>organization_name: Humana, Inc. </p>]]></description></item><item><title>KaiserCMP11302022</title><pubDate>Wed, 30 Nov 2022 11:06:29 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/kaisercmp11302022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/kaisercmp11302022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($27,260)</p><p>action_taken_date: Wed, 30 Nov 2022 11:04:36 -0500</p><p>effective_date: Wed, 30 Nov 2022 12:00:00 -0500</p><p>organization_name: Kaiser Foundation Health Plan, Inc.</p>]]></description></item><item><title>InnovAgeCASanctionRelease11212022</title><pubDate>Mon, 21 Nov 2022 09:38:50 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecasanctionrelease11212022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecasanctionrelease11212022</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Mon, 21 Nov 2022 09:36:34 -0500</p><p>effective_date: Mon, 21 Nov 2022 12:00:00 -0500</p><p>organization_name: InnovAge California PACE – Sacramento, LLC</p>]]></description></item><item><title>UHCRiverValleySanction09202022</title><pubDate>Tue, 20 Sep 2022 10:09:48 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcrivervalleysanction09202022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcrivervalleysanction09202022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Tue, 20 Sep 2022 10:06:43 -0400</p><p>effective_date: Tue, 20 Sep 2022 12:00:00 -0400</p><p>organization_name: UnitedHealthcare Plan of the River Valley, Inc.</p>]]></description></item><item><title>UHCMidwestSanctionRelease09202022</title><pubDate>Tue, 20 Sep 2022 10:03:12 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcmidwestsanctionrelease09202022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcmidwestsanctionrelease09202022</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Tue, 20 Sep 2022 10:01:21 -0400</p><p>effective_date: Sun, 01 Jan 2023 12:00:00 -0500</p><p>organization_name: UnitedHealthcare of the Midwest, Inc.</p>]]></description></item><item><title>UHCArkansasSanctionRelease09202022</title><pubDate>Tue, 20 Sep 2022 09:37:17 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcarkansassanctionrelease09202022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcarkansassanctionrelease09202022</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Tue, 20 Sep 2022 09:35:02 -0400</p><p>effective_date: Sun, 01 Jan 2023 12:00:00 -0500</p><p>organization_name: UnitedHealthcare of Arkansas, Inc.</p>]]></description></item><item><title>TripleSSanctionRelease09202022</title><pubDate>Tue, 20 Sep 2022 09:19:34 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triplessanctionrelease09202022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triplessanctionrelease09202022</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Tue, 20 Sep 2022 09:18:24 -0400</p><p>effective_date: Sun, 01 Jan 2023 12:00:00 -0500</p><p>organization_name: Triple S Advantage, Inc.</p>]]></description></item><item><title>UHCNewMexicoSanctionRelease09202022</title><pubDate>Tue, 20 Sep 2022 09:13:10 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcnewmexicosanctionrelease09202022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/uhcnewmexicosanctionrelease09202022</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Tue, 20 Sep 2022 09:11:43 -0400</p><p>effective_date: Sun, 01 Jan 2023 12:00:00 -0500</p><p>organization_name: UnitedHealthcare of New Mexico, Inc.</p>]]></description></item><item><title>MMMHealthcareSanctionRelease09202022</title><pubDate>Tue, 20 Sep 2022 09:03:18 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/mmmhealthcaresanctionrelease09202022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/mmmhealthcaresanctionrelease09202022</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Tue, 20 Sep 2022 09:00:14 -0400</p><p>effective_date: Sun, 01 Jan 2023 12:00:00 -0500</p><p>organization_name: MMM Healthcare, LLC</p>]]></description></item><item><title>FHCSDCMPNotice6152022Redacted</title><pubDate>Wed, 15 Jun 2022 15:29:39 -0400</pubDate><link>https://www.cms.gov//https/cmsgov/medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/fhcsdcmpnotice6152022redacted</link><guid>https://www.cms.gov//https/cmsgov/medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/fhcsdcmpnotice6152022redacted</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($40,282)</p><p>action_taken_date: Wed, 15 Jun 2022 16:00:00 -0400</p><p>effective_date: Wed, 15 Jun 2022 12:00:00 -0400</p><p>organization_name: Family Health Centers of San Diego, Inc.</p>]]></description></item><item><title>AnthemCMP04052022</title><pubDate>Tue, 05 Apr 2022 09:47:48 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/anthemcmp04052022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/anthemcmp04052022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($19,186)</p><p>action_taken_date: Tue, 05 Apr 2022 09:45:59 -0400</p><p>effective_date: Tue, 05 Apr 2022 12:00:00 -0400</p><p>organization_name: Anthem Inc.</p>]]></description></item><item><title>CenteneCMP03222022</title><pubDate>Tue, 22 Mar 2022 11:11:26 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/centenecmp03222022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/centenecmp03222022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($88,192)</p><p>action_taken_date: Tue, 22 Mar 2022 11:09:55 -0400</p><p>effective_date: Tue, 22 Mar 2022 12:00:00 -0400</p><p>organization_name: Centene Corporation</p>]]></description></item><item><title>MolinaCMP03222022</title><pubDate>Tue, 22 Mar 2022 11:05:10 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/molinacmp03222022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/molinacmp03222022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($43,884)</p><p>action_taken_date: Tue, 22 Mar 2022 11:04:05 -0400</p><p>effective_date: Tue, 22 Mar 2022 12:00:00 -0400</p><p>organization_name: Molina Healthcare, Inc.</p>]]></description></item><item><title>CIGNACMP03222022</title><pubDate>Tue, 22 Mar 2022 10:49:03 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/cignacmp03222022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/cignacmp03222022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($85,436)</p><p>action_taken_date: Tue, 22 Mar 2022 10:47:32 -0400</p><p>effective_date: Tue, 22 Mar 2022 12:00:00 -0400</p><p>organization_name: CIGNA</p>]]></description></item><item><title>EmblemHealthCMP03222022</title><pubDate>Tue, 22 Mar 2022 10:42:05 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/emblemhealthcmp03222022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/emblemhealthcmp03222022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($106,325)</p><p>action_taken_date: Tue, 22 Mar 2022 10:40:58 -0400</p><p>effective_date: Tue, 22 Mar 2022 12:00:00 -0400</p><p>organization_name: EmblemHealth, Inc.</p>]]></description></item><item><title>BCBSTNCMP03222022</title><pubDate>Tue, 22 Mar 2022 10:33:59 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/bcbstncmp03222022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/bcbstncmp03222022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($142,676)</p><p>action_taken_date: Tue, 22 Mar 2022 10:32:47 -0400</p><p>effective_date: Tue, 22 Mar 2022 12:00:00 -0400</p><p>organization_name: BlueCross BlueShield of Tennessee</p>]]></description></item><item><title>GuidewellCMP03222022</title><pubDate>Tue, 22 Mar 2022 10:22:42 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/guidewellcmp03222022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/guidewellcmp03222022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($52,258)</p><p>action_taken_date: Tue, 22 Mar 2022 10:24:10 -0400</p><p>effective_date: Tue, 22 Mar 2022 12:00:00 -0400</p><p>organization_name: Guidewell Mutual Holding Corporation </p>]]></description></item><item><title>VibraHealthCMP02252022</title><pubDate>Fri, 25 Feb 2022 16:19:31 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vibrahealthcmp02252022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vibrahealthcmp02252022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($9,328)</p><p>action_taken_date: Fri, 25 Feb 2022 16:18:14 -0500</p><p>effective_date: Fri, 25 Feb 2022 12:00:00 -0500</p><p>organization_name: Vibra Health Plan, Inc.</p>]]></description></item><item><title>NetworkHealthCMP02252022</title><pubDate>Fri, 25 Feb 2022 16:14:39 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/networkhealthcmp02252022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/networkhealthcmp02252022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($11,236)</p><p>action_taken_date: Fri, 25 Feb 2022 16:13:03 -0500</p><p>effective_date: Fri, 25 Feb 2022 12:00:00 -0500</p><p>organization_name: Network Health Insurance Corporation</p>]]></description></item><item><title>GlobalHealthCMP02252022</title><pubDate>Fri, 25 Feb 2022 16:08:05 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/globalhealthcmp02252022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/globalhealthcmp02252022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($26,182)</p><p>action_taken_date: Fri, 25 Feb 2022 16:04:52 -0500</p><p>effective_date: Fri, 25 Feb 2022 12:00:00 -0500</p><p>organization_name: Global Health Inc.</p>]]></description></item><item><title>IndependenceCMP02252022</title><pubDate>Fri, 25 Feb 2022 15:57:08 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/independencecmp02252022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/independencecmp02252022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($26,500)</p><p>action_taken_date: Fri, 25 Feb 2022 15:55:48 -0500</p><p>effective_date: Fri, 25 Feb 2022 12:00:00 -0500</p><p>organization_name: Independence Health Group, Inc.</p>]]></description></item><item><title>CaresourceCMP02252022</title><pubDate>Fri, 25 Feb 2022 15:46:16 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/caresourcecmp02252022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/caresourcecmp02252022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($66,250)</p><p>action_taken_date: Fri, 25 Feb 2022 15:44:39 -0500</p><p>effective_date: Fri, 25 Feb 2022 12:00:00 -0500</p><p>organization_name: CareSource Ohio Inc.</p>]]></description></item><item><title>CIGNACMP02252022</title><pubDate>Fri, 25 Feb 2022 15:40:00 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/cignacmp02252022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/cignacmp02252022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($126,988)</p><p>action_taken_date: Fri, 25 Feb 2022 15:38:28 -0500</p><p>effective_date: Fri, 25 Feb 2022 12:00:00 -0500</p><p>organization_name: CIGNA</p>]]></description></item><item><title>ParamountCareCMP02252022</title><pubDate>Fri, 25 Feb 2022 15:27:36 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/paramountcarecmp02252022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/paramountcarecmp02252022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($146,068)</p><p>action_taken_date: Fri, 25 Feb 2022 15:25:55 -0500</p><p>effective_date: Fri, 25 Feb 2022 12:00:00 -0500</p><p>organization_name: Paramount Care Inc.</p>]]></description></item><item><title>CaliforniaPhysiciansServiceCMP02242022</title><pubDate>Thu, 24 Feb 2022 10:54:31 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/californiaphysiciansservicecmp02242022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/californiaphysiciansservicecmp02242022</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($40,282)</p><p>action_taken_date: Thu, 24 Feb 2022 10:52:46 -0500</p><p>effective_date: Thu, 24 Feb 2022 12:00:00 -0500</p><p>organization_name: California Physicians' Service</p>]]></description></item><item><title>VitalityHealthSanctionRelease01202022</title><pubDate>Wed, 19 Jan 2022 13:52:16 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vitalityhealthsanctionrelease01202022</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vitalityhealthsanctionrelease01202022</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Thu, 20 Jan 2022 09:44:00 -0500</p><p>effective_date: Tue, 04 Jan 2022 12:00:00 -0500</p><p>organization_name: Vitality Health Plan of California, Inc.</p>]]></description></item><item><title>InnovageCOSanctionRD12222021</title><pubDate>Wed, 22 Dec 2021 11:39:52 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecosanctionrd12222021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecosanctionrd12222021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Wed, 22 Dec 2021 11:38:56 -0500</p><p>effective_date: Wed, 22 Dec 2021 12:00:00 -0500</p><p>organization_name: InnovAge Colorado PACE</p>]]></description></item><item><title>ClearSpringHealthCMP12062021</title><pubDate>Mon, 06 Dec 2021 12:44:05 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/clearspringhealthcmp12062021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/clearspringhealthcmp12062021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($53,162)</p><p>action_taken_date: Mon, 06 Dec 2021 12:42:42 -0500</p><p>effective_date: Mon, 06 Dec 2021 12:00:00 -0500</p><p>organization_name: Clear Spring Health Insurance Company</p>]]></description></item><item><title>eternalHealthofDESanctionRelease12032021</title><pubDate>Mon, 06 Dec 2021 10:10:17 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/eternalhealthofdesanctionrelease12032021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/eternalhealthofdesanctionrelease12032021</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Fri, 03 Dec 2021 10:09:09 -0500</p><p>effective_date: Thu, 02 Dec 2021 12:00:00 -0500</p><p>organization_name: Eternal Health of Delaware, Inc.</p>]]></description></item><item><title>EternalHealthofDESanctionNotice10262021</title><pubDate>Tue, 26 Oct 2021 15:59:31 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/eternalhealthofdesanctionnotice10262021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/eternalhealthofdesanctionnotice10262021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Tue, 26 Oct 2021 16:00:00 -0400</p><p>effective_date: Wed, 27 Oct 2021 12:00:00 -0400</p><p>organization_name: Eternal Health of Delaware, Inc.</p>]]></description></item><item><title>ImperialAZSanctionRelease10072021</title><pubDate>Thu, 07 Oct 2021 11:12:57 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/imperialazsanctionrelease10072021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/imperialazsanctionrelease10072021</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Thu, 07 Oct 2021 16:00:00 -0400</p><p>effective_date: Tue, 05 Oct 2021 12:00:00 -0400</p><p>organization_name: Imperial Insurance Companies, Inc.</p>]]></description></item><item><title>InnovageCASanctionRD09172021</title><pubDate>Fri, 17 Sep 2021 12:19:14 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecasanctionrd09172021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/innovagecasanctionrd09172021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Fri, 17 Sep 2021 12:16:53 -0400</p><p>effective_date: Fri, 17 Sep 2021 12:00:00 -0400</p><p>organization_name: InnovAge California PACE – Sacramento, LLC</p>]]></description></item><item><title>UnitedoftheMidwestSanction09022021</title><pubDate>Thu, 02 Sep 2021 14:02:23 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofthemidwestsanction09022021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofthemidwestsanction09022021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Thu, 02 Sep 2021 14:00:58 -0400</p><p>effective_date: Thu, 02 Sep 2021 12:00:00 -0400</p><p>organization_name: UnitedHealthcare of the Midwest, Inc. </p>]]></description></item><item><title>UnitedofNewMexicoSanction09022021</title><pubDate>Thu, 02 Sep 2021 13:57:28 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofnewmexicosanction09022021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofnewmexicosanction09022021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Thu, 02 Sep 2021 13:56:07 -0400</p><p>effective_date: Thu, 02 Sep 2021 12:00:00 -0400</p><p>organization_name: UnitedHealthcare of New Mexico, Inc. </p>]]></description></item><item><title>UnitedofArkansasSanction09022021</title><pubDate>Thu, 02 Sep 2021 13:52:36 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofarkansassanction09022021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/unitedofarkansassanction09022021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Thu, 02 Sep 2021 13:51:27 -0400</p><p>effective_date: Thu, 02 Sep 2021 12:00:00 -0400</p><p>organization_name: UnitedHealthcare of Arkansas, Inc. </p>]]></description></item><item><title>Triple-SAdvantageSanction09022021</title><pubDate>Thu, 02 Sep 2021 13:46:57 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triple-sadvantagesanction09022021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triple-sadvantagesanction09022021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Thu, 02 Sep 2021 13:46:05 -0400</p><p>effective_date: Thu, 02 Sep 2021 12:00:00 -0400</p><p>organization_name: Triple-S Advantage, Inc. </p>]]></description></item><item><title>MMMHealthcareSanction09022021</title><pubDate>Thu, 02 Sep 2021 13:41:34 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/mmmhealthcaresanction09022021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/mmmhealthcaresanction09022021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Thu, 02 Sep 2021 13:40:11 -0400</p><p>effective_date: Thu, 02 Sep 2021 12:00:00 -0400</p><p>organization_name: MMM Healthcare, LLC</p>]]></description></item><item><title>BlueCrossofIdahoSanctionRelease09022021</title><pubDate>Thu, 02 Sep 2021 13:30:57 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/bluecrossofidahosanctionrelease09022021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/bluecrossofidahosanctionrelease09022021</guid><description><![CDATA[<p>effective_date: Thu, 02 Sep 2021 12:00:00 -0400</p><p>organization_name: Blue Cross of Idaho Care Plus, Inc. </p>]]></description></item><item><title>ImperialAZSanctionNotice06172021</title><pubDate>Thu, 17 Jun 2021 05:56:46 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/imperialazsanctionnotice06172021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/imperialazsanctionnotice06172021</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Immediate Suspension of Enrollment</p><p>action_taken_date: Thu, 17 Jun 2021 16:00:00 -0400</p><p>effective_date: Thu, 17 Jun 2021 12:00:00 -0400</p><p>organization_name: Imperial Insurance Companies, Inc.</p>]]></description></item><item><title>GoldenStateSanction04292021</title><pubDate>Thu, 29 Apr 2021 09:36:05 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/goldenstatesanction04292021</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/goldenstatesanction04292021</guid><description><![CDATA[<p>effective_date: Thu, 29 Apr 2021 12:00:00 -0400</p><p>organization_name: Golden State Medicare Health Plan</p>]]></description></item><item><title>SeniorLifeYorkSanctionRelease120820</title><pubDate>Tue, 08 Dec 2020 12:38:36 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/seniorlifeyorksanctionrelease120820</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/seniorlifeyorksanctionrelease120820</guid><description><![CDATA[<p>effective_date: Tue, 08 Dec 2020 12:00:00 -0500</p><p>organization_name: Senior LIFE York, Inc.</p>]]></description></item><item><title>AnthemIncCMP111720</title><pubDate>Tue, 17 Nov 2020 10:27:26 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/antheminccmp111720</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/antheminccmp111720</guid><description><![CDATA[<p>effective_date: Tue, 17 Nov 2020 12:00:00 -0500</p><p>organization_name: Anthem, Inc.</p>]]></description></item><item><title>CenteneCorpCMP111720</title><pubDate>Tue, 17 Nov 2020 10:13:18 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/centenecorpcmp111720</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/centenecorpcmp111720</guid><description><![CDATA[<p>effective_date: Fri, 17 Nov 2017 12:00:00 -0500</p><p>organization_name: Centene Corporation</p>]]></description></item><item><title>CAREPLUSCMP111720</title><pubDate>Tue, 17 Nov 2020 10:02:42 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/carepluscmp111720</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/carepluscmp111720</guid><description><![CDATA[<p>effective_date: Tue, 17 Nov 2020 12:00:00 -0500</p><p>organization_name: CarePlus Health Plans, Inc.</p>]]></description></item><item><title>MetroPlusCMP111720</title><pubDate>Tue, 17 Nov 2020 09:55:29 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/metropluscmp111720</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/metropluscmp111720</guid><description><![CDATA[<p>effective_date: Tue, 17 Nov 2020 12:00:00 -0500</p><p>organization_name: MetroPlus Health Plan, Inc.</p>]]></description></item><item><title>LIFEPACECMPNotice102120</title><pubDate>Mon, 19 Oct 2020 16:09:50 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/lifepacecmpnotice102120</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/lifepacecmpnotice102120</guid><description><![CDATA[<p>effective_date: Wed, 21 Oct 2020 12:00:00 -0400</p><p>organization_name: LIFE PACE</p>]]></description></item><item><title>Group1001SanctionRelease09222020</title><pubDate>Fri, 25 Sep 2020 13:13:50 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/group1001sanctionrelease09222020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/group1001sanctionrelease09222020</guid><description><![CDATA[<p>effective_date: Tue, 22 Sep 2020 12:00:00 -0400</p><p>organization_name: Group 1001</p>]]></description></item><item><title>BlueCrossIdahoCarePlus09092020</title><pubDate>Thu, 10 Sep 2020 05:07:06 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcemen/bluecrossidahocareplus09092020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcemen/bluecrossidahocareplus09092020</guid><description><![CDATA[<p>effective_date: Wed, 09 Sep 2020 12:00:00 -0400</p><p>organization_name: Blue Cross of Idaho Care Plus, Inc.</p>]]></description></item><item><title>Care Improvement Plus Sanction Release 09/01/2020</title><pubDate>Wed, 02 Sep 2020 05:30:25 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/care-improvement-plus-sanction-release-09012020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/care-improvement-plus-sanction-release-09012020</guid><description><![CDATA[<p>effective_date: Tue, 01 Sep 2020 12:00:00 -0400</p><p>organization_name: Care Improvement Plus South Central Insurance Co</p>]]></description></item><item><title>CareNCareCMP07212020</title><pubDate>Tue, 21 Jul 2020 09:16:01 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/carencarecmp07212020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/carencarecmp07212020</guid><description><![CDATA[<p>effective_date: Tue, 21 Jul 2020 12:00:00 -0400</p><p>organization_name: Care N' Care Insurance Company of North Carolina</p>]]></description></item><item><title>VitalityHealthSanction07022020</title><pubDate>Mon, 06 Jul 2020 05:13:42 -0400</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vitalityhealthsanction07022020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/vitalityhealthsanction07022020</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Thu, 02 Jul 2020 23:59:00 -0400</p><p>effective_date: Thu, 02 Jul 2020 12:00:00 -0400</p><p>organization_name: Vitality Health Plan of California, Inc.</p>]]></description></item><item><title>WellcareCMP02282020</title><pubDate>Fri, 28 Feb 2020 13:43:24 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/wellcarecmp02282020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/wellcarecmp02282020</guid><description><![CDATA[<p>effective_date: Fri, 28 Feb 2020 12:00:00 -0500</p><p>organization_name: WellCare Health Plans, Inc.</p>]]></description></item><item><title>TuftsHealthCMP02282020</title><pubDate>Fri, 28 Feb 2020 13:36:09 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/tuftshealthcmp02282020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/tuftshealthcmp02282020</guid><description><![CDATA[<p>effective_date: Fri, 28 Feb 2020 12:00:00 -0500</p><p>organization_name: Tufts Health Plan, Inc.</p>]]></description></item><item><title>TripleSCMP02282020</title><pubDate>Fri, 28 Feb 2020 13:31:54 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triplescmp02282020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/triplescmp02282020</guid><description><![CDATA[<p>effective_date: Fri, 28 Feb 2020 12:00:00 -0500</p><p>organization_name: Triple-S Management Corporation</p>]]></description></item><item><title>HumanaCMP02282020</title><pubDate>Fri, 28 Feb 2020 13:27:40 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/humanacmp02282020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/humanacmp02282020</guid><description><![CDATA[<p>effective_date: Fri, 28 Feb 2020 12:00:00 -0500</p><p>organization_name: Humana Inc.</p>]]></description></item><item><title>HCSCCMP02282020</title><pubDate>Fri, 28 Feb 2020 13:23:06 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/hcsccmp02282020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/hcsccmp02282020</guid><description><![CDATA[<p>effective_date: Fri, 28 Feb 2020 12:00:00 -0500</p><p>organization_name: Health Care Service Corporation</p>]]></description></item><item><title>BlueShieldCACMP02282020</title><pubDate>Fri, 28 Feb 2020 13:19:03 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/blueshieldcacmp02282020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/blueshieldcacmp02282020</guid><description><![CDATA[<p>effective_date: Fri, 28 Feb 2020 12:00:00 -0500</p><p>organization_name: Blue Shield of California Promise Health Plan</p>]]></description></item><item><title>DLICSanction01312020</title><pubDate>Mon, 03 Feb 2020 06:24:12 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/dlicsanction01312020</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/dlicsanction01312020</guid><description><![CDATA[<p>effective_date: Fri, 31 Jan 2020 12:00:00 -0500</p><p>organization_name: Delaware Life Insurance Company</p>]]></description></item><item><title>SolisHealthPlanCMP1242019</title><pubDate>Mon, 09 Dec 2019 09:28:55 -0500</pubDate><link>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/solishealthplancmp1242019</link><guid>https://www.cms.gov//medicarecompliance-and-auditspart-c-and-part-d-compliance-and-auditspartcandpartdenforcementactions/solishealthplancmp1242019</guid><description><![CDATA[<p>effective_date: Wed, 04 Dec 2019 12:00:00 -0500</p><p>organization_name: Solis Health Plans, Inc.</p>]]></description></item><item><title>2019-09-11</title><pubDate>Mon, 04 Nov 2019 02:48:18 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/careimprovementplussanction091119</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/careimprovementplussanction091119</guid><description><![CDATA[<p>effective_date: Wed, 11 Sep 2019 12:00:00 -0400</p><p>organization_name: Care Improvement Plus South Central Insurance Company</p>]]></description></item><item><title>2019-08-29</title><pubDate>Mon, 04 Nov 2019 02:48:13 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/usablesanctionrelease082919</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/usablesanctionrelease082919</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected </p><p>action_taken: Sanction Release</p><p>action_taken_date: Thu, 29 Aug 2019 12:00:00 -0400</p><p>effective_date: Thu, 29 Aug 2019 12:00:00 -0400</p><p>organization_name: USAble Mutual Insurance Company</p>]]></description></item><item><title>2019-08-22</title><pubDate>Mon, 04 Nov 2019 02:48:12 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/seniorlifeyorksanctionrd082219</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/seniorlifeyorksanctionrd082219</guid><description><![CDATA[<p>effective_date: Thu, 22 Aug 2019 12:00:00 -0400</p><p>organization_name: Senior LIFE York, Inc.</p>]]></description></item><item><title>2019-08-05</title><pubDate>Mon, 04 Nov 2019 02:48:11 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/wellcarecmp080519</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/wellcarecmp080519</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($373,800)</p><p>action_taken_date: Mon, 05 Aug 2019 12:00:00 -0400</p><p>effective_date: Mon, 05 Aug 2019 12:00:00 -0400</p><p>organization_name: WellCare Health Plans, Inc.</p>]]></description></item><item><title>2019-06-27</title><pubDate>Mon, 04 Nov 2019 02:47:54 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/constellationtermination062719</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/constellationtermination062719</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Termination</p><p>action_taken_date: Thu, 27 Jun 2019 12:00:00 -0400</p><p>effective_date: Thu, 27 Jun 2019 12:00:00 -0400</p><p>organization_name: Constellation Health, LLC</p>]]></description></item><item><title>2019-04-29</title><pubDate>Mon, 04 Nov 2019 02:47:38 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/franciscanalliancecmp042919</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/franciscanalliancecmp042919</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($38,159)</p><p>action_taken_date: Mon, 29 Apr 2019 12:00:00 -0400</p><p>effective_date: Mon, 29 Apr 2019 12:00:00 -0400</p><p>organization_name: Franciscan ACO, Inc.</p>]]></description></item><item><title>2019-04-29</title><pubDate>Mon, 04 Nov 2019 02:47:38 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/communitypacecmp042919</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/communitypacecmp042919</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($38,159)</p><p>action_taken_date: Mon, 29 Apr 2019 12:00:00 -0400</p><p>effective_date: Mon, 29 Apr 2019 12:00:00 -0400</p><p>organization_name: Community PACE at Home, Inc.</p>]]></description></item><item><title>2019-02-27</title><pubDate>Mon, 04 Nov 2019 02:47:25 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/santaclaracmp022719</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/santaclaracmp022719</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($39,000)</p><p>action_taken_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>effective_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>organization_name: Santa Clara County Health Authority</p>]]></description></item><item><title>2019-03-06</title><pubDate>Mon, 04 Nov 2019 02:47:25 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/seniorlifelehighcmp030619redacted</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/seniorlifelehighcmp030619redacted</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($38,159)</p><p>action_taken_date: Wed, 06 Mar 2019 12:00:00 -0500</p><p>effective_date: Wed, 06 Mar 2019 12:00:00 -0500</p><p>organization_name: Senior LIFE Lehigh Valley, Inc.</p>]]></description></item><item><title>2019-02-27</title><pubDate>Mon, 04 Nov 2019 02:47:21 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/nhpricmp022719</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/nhpricmp022719</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($29,800)</p><p>action_taken_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>effective_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>organization_name: Neighborhood Health Plan of Rhode Island</p>]]></description></item><item><title>2019-03-12</title><pubDate>Mon, 04 Nov 2019 02:47:21 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/agewellcmp031219</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/agewellcmp031219</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($39,200)</p><p>action_taken_date: Tue, 12 Mar 2019 12:00:00 -0400</p><p>effective_date: Tue, 12 Mar 2019 12:00:00 -0400</p><p>organization_name: Agewell New York, LLC</p>]]></description></item><item><title>2019-02-27</title><pubDate>Mon, 04 Nov 2019 02:47:18 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/commonwealthcmp022719</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/commonwealthcmp022719</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($42,900)</p><p>action_taken_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>effective_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>organization_name: Commonwealth Care Alliance, Inc.</p>]]></description></item><item><title>2019-02-27</title><pubDate>Mon, 04 Nov 2019 02:47:16 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/arsuperiorselectcmp022719</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/arsuperiorselectcmp022719</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($49,600)</p><p>action_taken_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>effective_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>organization_name: Arkansas Superior Select, Inc.</p>]]></description></item><item><title>2019-02-27</title><pubDate>Mon, 04 Nov 2019 02:47:15 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/localinitiativecmp02272019</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/localinitiativecmp02272019</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($43,600)</p><p>action_taken_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>effective_date: Wed, 27 Feb 2019 12:00:00 -0500</p><p>organization_name: Local Initiative Health Authority of LA County</p>]]></description></item><item><title>2019-01-08</title><pubDate>Mon, 04 Nov 2019 02:46:59 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/centerlightcmp010819</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/centerlightcmp010819</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($38,159)</p><p>action_taken_date: Tue, 08 Jan 2019 12:00:00 -0500</p><p>effective_date: Tue, 08 Jan 2019 12:00:00 -0500</p><p>organization_name: CenterLight TeamCare</p>]]></description></item><item><title>2018-11-08</title><pubDate>Mon, 04 Nov 2019 02:46:45 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/qhpsanction110818</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/qhpsanction110818</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment and Marketing</p><p>action_taken_date: Thu, 08 Nov 2018 12:00:00 -0500</p><p>effective_date: Thu, 08 Nov 2018 12:00:00 -0500</p><p>organization_name: QHP Financial Group, Inc.</p>]]></description></item><item><title>2018-10-17</title><pubDate>Mon, 04 Nov 2019 02:46:30 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/omahamutualrelease101718</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/omahamutualrelease101718</guid><description><![CDATA[<p>action_basis: Deficiences Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Wed, 17 Oct 2018 12:00:00 -0400</p><p>effective_date: Wed, 17 Oct 2018 12:00:00 -0400</p><p>organization_name: Omaha Health Insurance Company</p>]]></description></item><item><title>2018-10-12</title><pubDate>Mon, 04 Nov 2019 02:46:29 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/omahamutualsanction101218</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/omahamutualsanction101218</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Immediate Suspension of Enrollment and Marketing</p><p>action_taken_date: Fri, 12 Oct 2018 12:00:00 -0400</p><p>effective_date: Fri, 12 Oct 2018 12:00:00 -0400</p><p>organization_name: Omaha Health Insurance Company</p>]]></description></item><item><title>2018-09-18</title><pubDate>Mon, 04 Nov 2019 02:46:24 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/viachristisanctionrelease091818</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/viachristisanctionrelease091818</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Tue, 18 Sep 2018 12:00:00 -0400</p><p>effective_date: Tue, 18 Sep 2018 12:00:00 -0400</p><p>organization_name: Via Christi Healthcare Outreach for Elders, Inc.</p>]]></description></item><item><title>2018-09-20</title><pubDate>Mon, 04 Nov 2019 02:46:19 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/usablesuspension092018</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/usablesuspension092018</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Thu, 20 Sep 2018 12:00:00 -0400</p><p>effective_date: Thu, 20 Sep 2018 12:00:00 -0400</p><p>organization_name: USAble Mutual Insurance Company</p>]]></description></item><item><title>2018-07-26</title><pubDate>Mon, 04 Nov 2019 02:46:02 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/baylorscottwhitecmp072618-</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/baylorscottwhitecmp072618-</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($40,000)</p><p>action_taken_date: Thu, 26 Jul 2018 12:00:00 -0400</p><p>effective_date: Thu, 26 Jul 2018 12:00:00 -0400</p><p>organization_name: Baylor Scott &#x26; White Holdings</p>]]></description></item><item><title>2018-06-18</title><pubDate>Mon, 04 Nov 2019 02:45:52 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/riversiderelease061818</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/riversiderelease061818</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Mon, 18 Jun 2018 12:00:00 -0400</p><p>effective_date: Mon, 18 Jun 2018 12:00:00 -0400</p><p>organization_name: Riverside Health System</p>]]></description></item><item><title>2018-05-09</title><pubDate>Mon, 04 Nov 2019 02:45:31 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/anthemcmp050918</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/anthemcmp050918</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($243,200)</p><p>action_taken_date: Wed, 09 May 2018 12:00:00 -0400</p><p>effective_date: Wed, 09 May 2018 12:00:00 -0400</p><p>organization_name: Anthem, Inc.</p>]]></description></item><item><title>2018-05-09</title><pubDate>Mon, 04 Nov 2019 02:45:24 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/mvpcmp05092018</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/mvpcmp05092018</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($44,400)</p><p>action_taken_date: Wed, 09 May 2018 12:00:00 -0400</p><p>effective_date: Wed, 09 May 2018 12:00:00 -0400</p><p>organization_name: MVP Health Plan, Inc.</p>]]></description></item><item><title>2018-03-14</title><pubDate>Mon, 04 Nov 2019 02:44:55 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/meritcmp031418</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/meritcmp031418</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($62,100)</p><p>action_taken_date: Wed, 14 Mar 2018 12:00:00 -0400</p><p>effective_date: Wed, 14 Mar 2018 12:00:00 -0400</p><p>organization_name: Merit Health Insurance Company</p>]]></description></item><item><title>2017-12-21</title><pubDate>Mon, 04 Nov 2019 02:44:49 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/baylorscottcmp122117</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/baylorscottcmp122117</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($39,300)</p><p>action_taken_date: Thu, 21 Dec 2017 12:00:00 -0500</p><p>effective_date: Thu, 21 Dec 2017 12:00:00 -0500</p><p>organization_name: Baylor Scott &#x26; White Holdings</p>]]></description></item><item><title>2018-02-06</title><pubDate>Mon, 04 Nov 2019 02:44:49 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/meritcmp020618</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/meritcmp020618</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($1,368,200)</p><p>action_taken_date: Tue, 06 Feb 2018 12:00:00 -0500</p><p>effective_date: Tue, 06 Feb 2018 12:00:00 -0500</p><p>organization_name: Merit Health Insurance Company</p>]]></description></item><item><title>2018-02-21</title><pubDate>Mon, 04 Nov 2019 02:44:47 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/henryfordcmp022118</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/henryfordcmp022118</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($43,300)</p><p>action_taken_date: Wed, 21 Feb 2018 12:00:00 -0500</p><p>effective_date: Wed, 21 Feb 2018 12:00:00 -0500</p><p>organization_name: Henry Ford Health System</p>]]></description></item><item><title>2018-02-21</title><pubDate>Mon, 04 Nov 2019 02:44:47 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/ucaremncmp022118</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/ucaremncmp022118</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($61,500)</p><p>action_taken_date: Wed, 21 Feb 2018 12:00:00 -0500</p><p>effective_date: Wed, 21 Feb 2018 12:00:00 -0500</p><p>organization_name: UCare Minnesota</p>]]></description></item><item><title>2018-02-21</title><pubDate>Mon, 04 Nov 2019 02:44:47 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/floridahcpcmp022118</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/floridahcpcmp022118</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($23,800)</p><p>action_taken_date: Wed, 21 Feb 2018 12:00:00 -0500</p><p>effective_date: Wed, 21 Feb 2018 12:00:00 -0500</p><p>organization_name: Florida Health Care Plan, Inc.</p>]]></description></item><item><title>2018-02-21</title><pubDate>Mon, 04 Nov 2019 02:44:47 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-0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/guidewellcmp020618</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/guidewellcmp020618</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($30,900)</p><p>action_taken_date: Tue, 06 Feb 2018 12:00:00 -0500</p><p>effective_date: Tue, 06 Feb 2018 12:00:00 -0500</p><p>organization_name: Guidewell Mutual Holding Corporation(H1026, H2758, H5434, R3332, S5904)</p>]]></description></item><item><title>2017-12-11</title><pubDate>Mon, 04 Nov 2019 02:44:47 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/iuhpcmp121117</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/iuhpcmp121117</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($41,300)</p><p>action_taken_date: Mon, 11 Dec 2017 12:00:00 -0500</p><p>effective_date: Mon, 11 Dec 2017 12:00:00 -0500</p><p>organization_name: Indiana University Health Plans, Inc.</p>]]></description></item><item><title>2017-11-27</title><pubDate>Mon, 04 Nov 2019 02:44:47 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/kaisercmp112717</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/kaisercmp112717</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($45,900)</p><p>action_taken_date: Mon, 27 Nov 2017 12:00:00 -0500</p><p>effective_date: Mon, 27 Nov 2017 12:00:00 -0500</p><p>organization_name: Kaiser Foundation Health Plan, Inc.</p>]]></description></item><item><title>2017-12-21</title><pubDate>Mon, 04 Nov 2019 02:44:47 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/vantagecmp122117</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/vantagecmp122117</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($98,500)</p><p>action_taken_date: Thu, 21 Dec 2017 12:00:00 -0500</p><p>effective_date: Thu, 21 Dec 2017 12:00:00 -0500</p><p>organization_name: Vantage Holdings, Inc.</p>]]></description></item><item><title>2017-09-13</title><pubDate>Mon, 04 Nov 2019 02:44:45 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/expressscriptscmp091317</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/expressscriptscmp091317</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($213,000)</p><p>action_taken_date: Wed, 13 Sep 2017 12:00:00 -0400</p><p>effective_date: Wed, 13 Sep 2017 12:00:00 -0400</p><p>organization_name: Express Scripts Holding Company</p>]]></description></item><item><title>2017-11-27</title><pubDate>Mon, 04 Nov 2019 02:44:45 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/affinitycmp112717</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/affinitycmp112717</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($35,300)</p><p>action_taken_date: Mon, 27 Nov 2017 12:00:00 -0500</p><p>effective_date: Mon, 27 Nov 2017 12:00:00 -0500</p><p>organization_name: Affinity Health Plan, Inc.</p>]]></description></item><item><title>2017-11-14</title><pubDate>Mon, 04 Nov 2019 02:44:45 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/usablecmp111417</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/usablecmp111417</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($67,500)</p><p>action_taken_date: Tue, 14 Nov 2017 12:00:00 -0500</p><p>effective_date: Tue, 14 Nov 2017 12:00:00 -0500</p><p>organization_name: USAble Mutual Insurance Company</p>]]></description></item><item><title>2017-10-31</title><pubDate>Mon, 04 Nov 2019 02:44:45 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/excelluscmp103117</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/excelluscmp103117</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($105,400)</p><p>action_taken_date: Tue, 31 Oct 2017 12:00:00 -0400</p><p>effective_date: Tue, 31 Oct 2017 12:00:00 -0400</p><p>organization_name: Excellus Health Plan, Inc.</p>]]></description></item><item><title>2017-12-11</title><pubDate>Mon, 04 Nov 2019 02:44:45 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/medicalmutualofohiocmp121117</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/medicalmutualofohiocmp121117</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($222,300)</p><p>action_taken_date: Mon, 11 Dec 2017 12:00:00 -0500</p><p>effective_date: Mon, 11 Dec 2017 12:00:00 -0500</p><p>organization_name: Medical Mutual of Ohio</p>]]></description></item><item><title>2017-12-11</title><pubDate>Mon, 04 Nov 2019 02:44:44 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/bcbsofalcmp121117</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/bcbsofalcmp121117</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($27,000)</p><p>action_taken_date: Mon, 11 Dec 2017 12:00:00 -0500</p><p>effective_date: Mon, 11 Dec 2017 12:00:00 -0500</p><p>organization_name: BlueCross BlueShield of Alabama</p>]]></description></item><item><title>2017-11-14</title><pubDate>Mon, 04 Nov 2019 02:44:44 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/bcbsoftncmp111417</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/bcbsoftncmp111417</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($74,400)</p><p>action_taken_date: Tue, 14 Nov 2017 12:00:00 -0500</p><p>effective_date: Tue, 14 Nov 2017 12:00:00 -0500</p><p>organization_name: BlueCross BlueShield of Tennessee</p>]]></description></item><item><title>2018-02-06</title><pubDate>Mon, 04 Nov 2019 02:44:44 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/ssmcmp020618</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/ssmcmp020618</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($36,400)</p><p>action_taken_date: Tue, 06 Feb 2018 12:00:00 -0500</p><p>effective_date: Tue, 06 Feb 2018 12:00:00 -0500</p><p>organization_name: SSM Healthcare Corporation</p>]]></description></item><item><title>2017-12-20</title><pubDate>Mon, 04 Nov 2019 02:44:24 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/rhs_sanction_12-20-2017</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/rhs_sanction_12-20-2017</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Wed, 20 Dec 2017 12:00:00 -0500</p><p>effective_date: Wed, 20 Dec 2017 12:00:00 -0500</p><p>organization_name: Riverside Health System</p>]]></description></item><item><title>2017-11-14</title><pubDate>Mon, 04 Nov 2019 02:44:15 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/senior_life_cmp_11_14_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/senior_life_cmp_11_14_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($37,396)</p><p>action_taken_date: Tue, 14 Nov 2017 12:00:00 -0500</p><p>effective_date: Tue, 14 Nov 2017 12:00:00 -0500</p><p>organization_name: Senior LIFE York, Inc.</p>]]></description></item><item><title>2017-09-26</title><pubDate>Mon, 04 Nov 2019 02:43:52 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/usable_sanction_09-26-17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/usable_sanction_09-26-17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Tue, 26 Sep 2017 12:00:00 -0400</p><p>effective_date: Tue, 26 Sep 2017 12:00:00 -0400</p><p>organization_name: USAble Mutual Insurance Company</p>]]></description></item><item><title>2017-10-03</title><pubDate>Mon, 04 Nov 2019 02:43:51 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/via_christi_sanction_10-03-2017</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/via_christi_sanction_10-03-2017</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Suspension of Enrollment</p><p>action_taken_date: Tue, 03 Oct 2017 12:00:00 -0400</p><p>effective_date: Tue, 03 Oct 2017 12:00:00 -0400</p><p>organization_name: Via Christi Healthcare Outreach for Elders, Inc.</p>]]></description></item><item><title>2017-09-18</title><pubDate>Mon, 04 Nov 2019 02:43:47 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/premierhealthcmp_09-18-17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/premierhealthcmp_09-18-17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($3,600)</p><p>action_taken_date: Mon, 18 Sep 2017 12:00:00 -0400</p><p>effective_date: Mon, 18 Sep 2017 12:00:00 -0400</p><p>organization_name: Premier Health Insuring Corporation</p>]]></description></item><item><title>2017-07-14</title><pubDate>Mon, 04 Nov 2019 02:43:24 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/merit_health_cmp_7-14-17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/merit_health_cmp_7-14-17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($59,600) </p><p>action_taken_date: Fri, 14 Jul 2017 12:00:00 -0400</p><p>effective_date: Fri, 14 Jul 2017 12:00:00 -0400</p><p>organization_name: Merit Health Insurance Company</p>]]></description></item><item><title>2017-06-29</title><pubDate>Mon, 04 Nov 2019 02:43:21 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/fallon_cmp_notice_6_29_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/fallon_cmp_notice_6_29_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($344,100)</p><p>action_taken_date: Thu, 29 Jun 2017 12:00:00 -0400</p><p>effective_date: Thu, 29 Jun 2017 12:00:00 -0400</p><p>organization_name: Fallon Community Health Plan</p>]]></description></item><item><title>2017-06-21</title><pubDate>Mon, 04 Nov 2019 02:43:19 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/elderplan_cmp_6_21_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/elderplan_cmp_6_21_17</guid><description><![CDATA[<p>action_basis: Required Beneficiary Notices</p><p>action_taken: Civil Money Penalty ($132,000)</p><p>action_taken_date: Wed, 21 Jun 2017 12:00:00 -0400</p><p>effective_date: Wed, 21 Jun 2017 12:00:00 -0400</p><p>organization_name: Elderplan, Inc.</p>]]></description></item><item><title>2017-06-21</title><pubDate>Mon, 04 Nov 2019 02:43:19 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/christus_cmp_6_21_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/christus_cmp_6_21_17</guid><description><![CDATA[<p>action_basis: Required Beneficiary Notices</p><p>action_taken: Civil Money Penalty ($7,080)</p><p>action_taken_date: Wed, 21 Jun 2017 12:00:00 -0400</p><p>effective_date: Wed, 21 Jun 2017 12:00:00 -0400</p><p>organization_name: CHRISTUS Health Plan</p>]]></description></item><item><title>2017-06-16</title><pubDate>Mon, 04 Nov 2019 02:43:17 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/cigna_sanction_release_06_16_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/cigna_sanction_release_06_16_17</guid><description><![CDATA[<p>action_basis: Deficiencies Corrected</p><p>action_taken: Sanction Release</p><p>action_taken_date: Fri, 16 Jun 2017 12:00:00 -0400</p><p>effective_date: Fri, 16 Jun 2017 12:00:00 -0400</p><p>organization_name: Cigna-HealthSpring</p>]]></description></item><item><title>2016-10-11</title><pubDate>Mon, 04 Nov 2019 02:42:46 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/hcsc_cmp_notice_10_11_16</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/hcsc_cmp_notice_10_11_16</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($115,625)</p><p>action_taken_date: Tue, 11 Oct 2016 12:00:00 -0400</p><p>effective_date: Tue, 11 Oct 2016 12:00:00 -0400</p><p>organization_name: Health Care Service Corporation</p>]]></description></item><item><title>2017-02-24</title><pubDate>Mon, 04 Nov 2019 02:42:46 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/ccok_cmp_02_24_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/ccok_cmp_02_24_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($760,500)</p><p>action_taken_date: Fri, 24 Feb 2017 12:00:00 -0500</p><p>effective_date: Fri, 24 Feb 2017 12:00:00 -0500</p><p>organization_name: Community Care HMO, Inc.</p>]]></description></item><item><title>2017-02-24</title><pubDate>Mon, 04 Nov 2019 02:42:44 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/scan_cmp_notice_02_24_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/scan_cmp_notice_02_24_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($127,950)</p><p>action_taken_date: Fri, 24 Feb 2017 12:00:00 -0500</p><p>effective_date: Fri, 24 Feb 2017 12:00:00 -0500</p><p>organization_name: SCAN Health Plan</p>]]></description></item><item><title>2017-02-23</title><pubDate>Mon, 04 Nov 2019 02:42:42 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/wellcare_cmp_notice_02_23_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/wellcare_cmp_notice_02_23_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($1,174,300)</p><p>action_taken_date: Thu, 23 Feb 2017 12:00:00 -0500</p><p>effective_date: Thu, 23 Feb 2017 12:00:00 -0500</p><p>organization_name: WellCare Health Plans, Inc.</p>]]></description></item><item><title>2016-11-21</title><pubDate>Mon, 04 Nov 2019 02:42:42 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/hpp_cmp_notice_11_21_16</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/hpp_cmp_notice_11_21_16</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($32,600)</p><p>action_taken_date: Mon, 21 Nov 2016 12:00:00 -0500</p><p>effective_date: Mon, 21 Nov 2016 12:00:00 -0500</p><p>organization_name: Health Partners Plans, Inc.</p>]]></description></item><item><title>2016-11-21</title><pubDate>Mon, 04 Nov 2019 02:42:42 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/caidan_cmp_notice_11_21_2016</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/caidan_cmp_notice_11_21_2016</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($57,715)</p><p>action_taken_date: Mon, 21 Nov 2016 12:00:00 -0500</p><p>effective_date: Mon, 21 Nov 2016 12:00:00 -0500</p><p>organization_name: Caidan Enterprises, Inc.</p>]]></description></item><item><title>2017-02-24</title><pubDate>Mon, 04 Nov 2019 02:42:42 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/ph_cmp_notice_02_24_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/ph_cmp_notice_02_24_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($83,250)</p><p>action_taken_date: Fri, 24 Feb 2017 12:00:00 -0500</p><p>effective_date: Fri, 24 Feb 2017 12:00:00 -0500</p><p>organization_name: Peoples Health, Inc.</p>]]></description></item><item><title>2016-11-21</title><pubDate>Mon, 04 Nov 2019 02:42:42 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/hp_of_san_mateo_cmp_11_21_16</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/hp_of_san_mateo_cmp_11_21_16</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($49,725)</p><p>action_taken_date: Mon, 21 Nov 2016 12:00:00 -0500</p><p>effective_date: Mon, 21 Nov 2016 12:00:00 -0500</p><p>organization_name: Health Plan of San Mateo</p>]]></description></item><item><title>2017-01-12</title><pubDate>Mon, 04 Nov 2019 02:42:42 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/centene_cmp_01_12_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/centene_cmp_01_12_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($31,950)</p><p>action_taken_date: Thu, 12 Jan 2017 12:00:00 -0500</p><p>effective_date: Thu, 12 Jan 2017 12:00:00 -0500</p><p>organization_name: Centene Corporation</p>]]></description></item><item><title>2017-02-23</title><pubDate>Mon, 04 Nov 2019 02:42:41 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/fhc_cmp_notice_02_23_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/fhc_cmp_notice_02_23_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($28,975)</p><p>action_taken_date: Thu, 23 Feb 2017 12:00:00 -0500</p><p>effective_date: Thu, 23 Feb 2017 12:00:00 -0500</p><p>organization_name: FirstHealth of the Carolinas, Inc.</p>]]></description></item><item><title>2017-01-12</title><pubDate>Mon, 04 Nov 2019 02:42:41 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/avmed_cmp_notice_01_12_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/avmed_cmp_notice_01_12_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($764,375)</p><p>action_taken_date: Thu, 12 Jan 2017 12:00:00 -0500</p><p>effective_date: Thu, 12 Jan 2017 12:00:00 -0500</p><p>organization_name: AvMed, Inc.</p>]]></description></item><item><title>2016-11-22</title><pubDate>Mon, 04 Nov 2019 02:42:41 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/united_cmp_notice_11_22_16</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/united_cmp_notice_11_22_16</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($2,498,850)</p><p>action_taken_date: Tue, 22 Nov 2016 12:00:00 -0500</p><p>effective_date: Tue, 22 Nov 2016 12:00:00 -0500</p><p>organization_name: UnitedHealthcare Medicare &#x26; Retirement</p>]]></description></item><item><title>2017-01-12</title><pubDate>Mon, 04 Nov 2019 02:42:41 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/presbyterian_cmp_01_12_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/presbyterian_cmp_01_12_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($775,375)</p><p>action_taken_date: Thu, 12 Jan 2017 12:00:00 -0500</p><p>effective_date: Thu, 12 Jan 2017 12:00:00 -0500</p><p>organization_name: Presbyterian Health Plan</p>]]></description></item><item><title>2017-02-23</title><pubDate>Mon, 04 Nov 2019 02:42:41 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/icare_cmp_notice_02_23_17</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/icare_cmp_notice_02_23_17</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($321,900)</p><p>action_taken_date: Thu, 23 Feb 2017 12:00:00 -0500</p><p>effective_date: Thu, 23 Feb 2017 12:00:00 -0500</p><p>organization_name: Independent Care Health Plan, Inc.</p>]]></description></item><item><title>2016-10-11</title><pubDate>Mon, 04 Nov 2019 02:42:40 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/healthfirst_cmp_10_11_16</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/healthfirst_cmp_10_11_16</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Civil Money Penalty ($38,125)</p><p>action_taken_date: Tue, 11 Oct 2016 12:00:00 -0400</p><p>effective_date: Tue, 11 Oct 2016 12:00:00 -0400</p><p>organization_name: Healthfirst, Inc.</p>]]></description></item><item><title>2016-01-21</title><pubDate>Mon, 04 Nov 2019 02:40:38 -0500</pubDate><link>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/cigna_sanction_01_21_16</link><guid>https://www.cms.gov//medicare/compliance-and-audits/part-c-and-part-d-compliance-and-audits/enforcement-letters-items/cigna_sanction_01_21_16</guid><description><![CDATA[<p>action_basis: Contract Administration</p><p>action_taken: Immediate Suspension of Enrollment and Marketing</p><p>action_taken_date: Thu, 21 Jan 2016 12:00:00 -0500</p><p>effective_date: Thu, 21 Jan 2016 12:00:00 -0500</p><p>organization_name: Cigna-HealthSpring</p>]]></description></item></channel></rss>
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