US · guidance
CMS Pub. 100-04, ch. 29, § 360.1
Standard Operating Procedures
The priorities set forth in this section are to be used by MACs as a guide in establishing
standard operating procedures for managing an appeals workload when the budget amount is
insufficient to adequately perform the required functions. In general, MACs should use a first-in, first-out method to process appeals and manage workload; however, during times of limited
resources it may become necessary to prioritize the processing of appeals to more efficiently
manage the workload. While CMS continues to recommend the priorities listed in this section,
there may be instances where MACs find it more effective and efficient to prioritize in a
different manner. Also, MACs may choose to establish standard operating procedures for
managing an appeals workload that deviate from the priorities listed in this section. In both
these cases, MACs should submit a copy of their prioritization plan to the Contracting Officer’s
Representative/Contractor Manager and obtain written approval for this variation within 30
days of the start of the fiscal year or period of performance.
History
(Rev. 2729, Issued: 06-21-13, Effective: 07-23-13, Implementation: 07-23-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
31ca4d24ada0f8af2e046bd83b1669ea0346f850d69fa23d6547bee6340c0d6d
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