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US · guidance

CMS Pub. 100-04, ch. 27, § 70.3

Handling Emergency Problems and Problems With Recent CWF

activein force · 2026-08-25 – presentas-observed

Releases

(Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18)

A problem is considered an emergency if a large number of claims are paid incorrectly,

cannot be paid, or the MAC/Host system abnormally ends (abends). When an emergency

occurs, the MAC follows these procedures:

1. The MAC will convey information about the emergency to the Host immediately.

The MAC must be able to submit documentation of the problem.

2. The Host will report the problem to the CWFM immediately via CWFM customer

service. The service is available 24 hours a day, 7 days a week.

3. During business hours, CWFM will respond immediately. After business hours,

CWFM will contact the Host within one hour of report of the problem.

70.4 - Distribution of "CWF Change Control" Reports

Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18)

• CWFM distributes a monthly "Status of CWF Changes" report and "Schedule of

CWF Changes" report to all Host sites, CMS ROs, and CMS CO staff.

• Each Host site distributes the reports to its MAC sites within three working days

of receipt.

History

(Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
c343797850b3c68f0be80f8b8ff955942b280e85425ad26d36284c880190ac84
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