US · guidance
CMS Pub. 100-04, ch. 29, § 320.3
MAC Responsibilities - General
The contractor’s responsibilities for reconsiderations are:
1. Preparing and forwarding case files upon request from a QIC in accordance with
§§320.4, 320.5, 320.6 and the JOA;
2. Effectuating reconsiderations when notified by the QIC of a favorable decision or
unfavorable decision with a change in liability in accordance with § 320.8 and
notifying the QIC of receipt of effectuation information;
3. Preparing case files and forward misfiled reconsideration requests in accordance
with § 320.1(B); and
4. Entering into JOAs with the appropriate QIC(s) and Administrative QIC (AdQIC);
Complying with the appropriate JOAs.
History
(Rev. 4380, Issued: 08-30-19, Effective: 07-08-19, Implementation: 10- 01-19)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
6cad2240f0a6134b480f013deeaa5e113d2f17ffc8589160ea3b513f32d80fb0
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