US · guidance
CMS Pub. 100-09, ch. 2, § 10
Introduction
This chapter contains general instructions and requirements for the Fee-for-Service
Medicare Administrative Contractors (MACs). While the Centers for Medicare and
Medicaid Services (CMS) have separately contracted for direct beneficiary
communication with the Beneficiary Contact Center (BCC) contractor, MACs receive
complex beneficiary inquiries from the BCC and Regional Offices (ROs) in accordance
with National Operating Procedure NP 1.0 (complex inquiries), for response. As a
result, MACs are required to respond to complex beneficiary inquiries. This chapter
provides instructions and guidance for MACs in handling, controlling, and responding to
complex beneficiary inquiries, including Congressional inquiries written on behalf of
beneficiaries.
History
(Rev. 33, Issued: 10-02-15, Effective: 11-02-15, Implementation: 11-02-15)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
0acd7ecf579a37c68e1262c86eac35070a07b6d14b0ee7b5cbafe382f432ef46
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