(a) The State must give the CMS Regional Office written notice whenever it imposes or lifts a sanction for one of the violations listed in Sec. 438.700.
(b) The notice must--
(1) Be given no later than 30 days after the State imposes or lifts a sanction; and
(2) Specify the affected MCO, the kind of sanction, and the reason for the State's decision to impose or lift a sanction.