CFR > Title 42 - Public Health > CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES > SUBCHAPTER G—STANDARDS AND CERTIFICATION (parts 482 to 498) > PART 489—PROVIDER AGREEMENTS AND SUPPLIER APPROVAL > SUBPART E—Termination of Agreement and Reinstatement After Termination (§489.52 to §489.57) > 489.52—Termination by the provider.

489.52—Termination by the provider.

(a) Notice to CMS. (1) A provider that wishes to terminate its agreement must send CMS written notice of its intent.
(2) The notice may state the intended date of termination which must be the first day of a month.
(b) Termination date. (1) If the notice does not specify a date, or the date is not acceptable to CMS, CMS may set a date that will not be more than 6 months from the date on the provider's notice of intent.
(2) CMS may accept a termination date that is less than 6 months after the date on the provider's notice if it determines that to do so would not unduly disrupt services to the community or otherwise interfere with the effective and efficient administration of the Medicare program.
(3) A cessation of business is deemed to be a termination by the provider, effective with the date on which it stopped providing services to the community.
(c) Public notice. (1) The provider must give notice to the public at least 15 days before the effective date of termination.
(2) The notice must be published in one or more local newspapers and must—
(i) Specify the termination date; and
(ii) Explain to what extent services may continue after that date, in accordance with the exceptions set forth in § 489.55.