US · guidance
CMS Pub. 100-06, ch. 3, § 20.2
Provider is No Longer Participating in Medicare and Not Participating in
Medicaid
(Rev. 29, 01-02-04)
If the FI becomes aware that there is an imminent likelihood that a provider will be terminating from the
Medicare program it shall contact the RO with regard to future collection efforts.
If the FI discovers an overpayment upon the filing of a cost report, or on determination of program
reimbursement, with respect to a provider no longer participating in Medicare, it shall immediately
contact the terminated provider to obtain a refund in a lump-sum, if it has not been made.
The first demand letter shall be sent and all subsequent collection activities performed as specified in
§20.1 and Chapter 4, §10-20.
If the terminated provider has sold the entity to a participating provider refer to Chapter 3, §130 for change
of ownership instructions.
History
(Rev. 29, 01-02-04)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
05a83e3b6174399b8a579c8b79327bbabdbae963841b35b9322092e547ce444d
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