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US · guidance

CMS Pub. 100-09, ch. 6, § 20.6.3

Discretionary Reporting

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

CMS emphasizes the importance of integrating data analysis across all business functions within the

MAC, as the MAC continuously assesses how its outreach and education efforts affect the error rate.

MACs shall work to maintain or improve their CERT scores. At its discretion, CMS may require MACs

who don’t maintain or improve their scores from their previous year to submit additional reporting

related to how they use outreach and education to achieve a reduction.

History

(Rev. 13683; Issued: 04-08-26; Effective: 05-08-26; Implementation: 05-08-26)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
06ca29bacdadf0abd3c27f1d9f8c43072f42445315f8eca611faba51876c7499
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