CMS Pub. 100-09, ch. 6, § 20.3.2

MACs have the discretion to electronically distribute and post provider bulletins and newsletters

containing Medicare Program and billing information on their websites.

When MACs offer these communications, they shall actively encourage providers to access

electronic copies through their provider education websites rather than requesting paper

versions. Electronic distribution ensures providers receive information quickly and allows

MACs to update content efficiently when Medicare policies change. MACs shall promote

electronic access through multiple channels including their websites, provider communications

and customer service interactions.

MACs that distribute bulletins or newsletters shall ensure equitable access by providing paper

copies via U.S. Postal Service to active providers without internet access, when MACs are aware

of this limitation. MACs determine active providers by verifying that enrollment records in

PECOS show “active” status. This requirement prevents digital barriers from limiting access to

essential Medicare information that affects provider compliance and payment.

When providers who already receive complementary paper copies request additional paper

copies on a regular basis, MACs may charge a subscription fee for this service. Any subscription

fees shall be “fair and reasonable” and be based on the actual cost of producing and mailing the

publication. This fee structure allows MACs to recover expenses while providing ongoing service

to providers who prefer or require paper communications.