US · guidance
CMS Pub. 100-06, ch. 3, § 140.6.1
Working With the CMS Office and CMS Counsel
The Contractor notifies the servicing CMS Office or the CMS Counsel's Office immediately after it
receives information that a provider has filed for bankruptcy. It is essential for the Contractor to obtain
information on all Part A, Part B, or Durable Medical Equipment Administrative Contractor entities
involved in the bankruptcy, including Medicare identifying information, such as provider and supplier
numbers. If the Contractor has difficulty obtaining this information, it will consult with the CMS Office.
After gathering the information described in §140.4.2, the Contractor sends to the servicing CMS
Office.
The Contractor shall discuss with the CMS Office or CMS Counsel whether it should put payments in
an administrative freeze (a holding account) until Medicare has time to assess its position in the
bankruptcy. Also, the CMS Office or CMS Counsel will determine when the proof of claim is due and
whether the CMS Office or CMS Counsel will need additional information to prepare the proof of claim.
The Contractor shall share all new information regarding the provider's overpayments and
underpayments, cost report settlements, etc. with the CMS Office or CMS Counsel if asked. The
Contractor cannot take any further steps without obtaining the advice of the CMS Office and CMS
Counsel.
As the bankruptcy progresses, the CMS Office and Counsel may ask the Contractor to expedite
settlement of cost reports, update the CMS Counsel on provider overpayments or underpayments, and
provide Counsel with assistance on all aspects of the bankruptcy. As bankruptcy cases often have short
deadlines for filing pleadings and other documents, requests from the CMS Office or CMS Counsel must
have the highest priority in the workload, to protect Trust Fund assets.
History
(Rev. 13825; Issued: 06-11-26; Effective: 07-13-26; Implementation: 07-13-26)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
22350c7fce067535705176f5aa7c870f846d83222266067bc907333664b1c749
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