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CMS Pub. 100-04, ch. 29, § 270.2.5

Where to Submit the Transfer of Appeal Rights

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

When the provider or supplier submits the original or a copy of the signed transfer of appeal rights form, the

MAC shall place it in the case file. The provider or supplier should also give the beneficiary a copy of the

completed form.

If a contractor has received CMS approval for, and is accepting appeals through, the use of a secure Internet

portal/application (See 310.1.B.2.c), contractors should provide instructions to appellants using the Internet

portal/application on how to submit a copy of the signed transfer of appeal rights form when submitting an

appeal.

History

(Rev. 4278, Issued: 04-12-19, Effective: 06-13-19, Implementation: 06-13-19)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
98ee3191e982041e36a118eb9339b8d6ffa7691dc27778f5e837a019570bebee
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CMS Pub. 100-04, ch. 29, § 270.2.5 — Where to Submit… · binding.law