US · guidance
CMS Pub. 100-08, ch. 4, § 4.12.4
Initial Entry and Update Requirements for LE Payment
Suspension Requests
(Rev. 10184; Issued: 06-19-2020; Effective: 07-21-2020; Implementation: 07-21- 2020)
Law Enforcement Payment Suspension Requests and all applicable documentation shall
be entered into the UCM within five (5) calendar days of receipt of the request, unless
otherwise directed by the Payment Suspension team manager.
CMS expects the UPICs to make timely updates, generally within two (2) business days
of the action, to the UCM throughout the course of a LE Payment Suspension, including
timely monthly reports of any escrow dollars. If the Payment Suspension is a National
Payment Suspension, the UPIC shall follow the process outlined in 8.3.3.1 DME
Payment Suspensions (MACs and UPICs) and 8.3.3.2 Non-DME National Payment
Suspensions (MACs and UPICs). The lead UPIC is responsible for entering all
documentation into the UCM within five (5) calendar days as well as
communicating/coordinating with the non-lead UPICs to make sure their information
also is entered timely.
Within seven (7) calendar days of the termination of a LE payment suspension, or if a LE
Payment Suspension request is denied or withdrawn, the UPIC shall finalize any
remaining actions and close the UCM Payment Suspension (PSP) record.
History
(Rev. 10184; Issued: 06-19-2020; Effective: 07-21-2020; Implementation: 07-21- 2020)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
84624026057b7679ac139b3334c0fe3a1bcc65fa6e63e9954d301b400082d51a
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