US · guidance
CMS Pub. 100-06, ch. 7, § 30.9.8
L CUECs – Non-MSP Debt Collection
L – Control
Objective
Number
L – CUEC Description
L.1, L.3 and L.5 The initial demand letter is either manually created or systematically
created in HIGLAS. The content of the initial demand letters and
Intent to Refer (ITR) letters are consistent with CMS instructions.
L.1, L.3 and L.5 As under tolerance overpayments reach the threshold, HIGLAS
automatically aggregates and demands the debt.
L.1, L.3 and L.5 CMS ensures the Contractor has the ability in HIGLAS to make
adjustments and generate various HIGLAS reports on an as-needed
basis for debt management.
L.2 CMS Regional Office (RO) review ERS requests (only) when
contractors request additional guidance. CMS Central Office will
evaluate ERS requests as needed or requested by the RO.
L.3 CMS provides quarterly interest rate updates, and interest is
automatically calculated by the system on the overpayment.
L.4 CMS provides guidance to the Contractor upon receipt of a
notification of bankruptcy of a debtor.
L.5 CMS reviews and approves the Write-Off Reports.
L.8 CMS Systems are configured to stop collection activity once
overpayment cases are updated with certain appeal statuses.
L – Control
Objective
Number
L – CUEC Description
ALL CMS accurately and timely communicates mandated regulatory
requirement changes and internal policy changes.
No
Corresponding
Control Number
CMS establishes systematic controls to ensure recoupment of
Medicare overpayments and Federal tax and non-tax debts in
accordance with the Federal Payment Levy Program (FPLP), which
is managed by the Internal Revenue Service (IRS).
End Sections 30.9.8 – L CUECs – Non-MSP Debt Collection and 30 – Internal Control
Reporting Requirements: Back to Table of Contents
History
(Rev. 13001; Issued: 12-13-24; Effective: 10-01-24; Implementation: 01-15-25)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
c20e4611fd3314efae0e51ff5abf3482e1138fa2dda5e17b4ed5bf293f33fa53
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