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US · guidance

CMS Pub. 100-08, ch. 4, § 4.8.4.1

Congressional Inquiries

activein force · 2026-08-25 – presentas-observed

If a UPIC directly receives a Congressional Inquiry from any external requestor and/or

CMS components other than CPI, they shall immediately submit the Congressional

Inquiry for processing to the appropriate CMS BFL or designated staff person (dependent

upon the nature of the Congressional Inquiry; i.e. investigation related, payment

suspension related, etc.). The UPIC shall also send a copy of the communication to their

COR.

Once the Congressional Inquiry is received by CMS, it will be logged, reviewed, and

assigned to the appropriate UPIC(s), as needed. Upon UPIC receipt of a Congressional

Inquiry assignment, the UPIC shall prepare all relevant information as requested in the

Congressional Inquiry, and submit the information to the appropriate CMS BFL or

designated staff person, with a copy to their COR, by an agreed upon date and delivery

method. The UPIC shall not respond directly to the Congressional Office. Upon CMS

receipt of the UPIC’s relevant information, CMS will coordinate internally and respond

to the inquiry as needed

History

(Rev. 13821; Issued:06-09-26; Effective: 02-26-26; Implementation: 02-26-26)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
4bc711a4c1e63d71bfacc11ebaae26dd130e093afd31ea2be4f7e642882c7062
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