US · guidance
CMS Pub. 100-09, ch. 2, § 20.5
Urgent Need Regional Offices Casework
The MAC shall provide a direct point of contact (POC) to CMS ROs for the purposes of
assisting them in resolving urgent need beneficiary inquiries involving any aspect of the
Medicare Parts A and B programs. An urgent need inquiry is one in which the
beneficiary is unable to access medically necessary medical services, equipment and/or
supplies in a timely manner; and without those services the beneficiary’s life is
endangered, medical condition will deteriorate and/or pain or discomfort will increase.
The CMS ROs will contact the MAC for assistance in resolving an urgent need inquiry
through a prearranged contact that includes an email address, telephone, and fax number.
The MAC POC shall coordinate resolution of the problem and involve appropriate
functional areas within the MAC as necessary. The RO will relay the resolution directly
to the beneficiary.
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
21800c4895b7acef8902dbb04f0db56a462713719f1991a82b794804e8ba3f6d
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