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US · guidance

CMS Pub. 100-09, ch. 6, § 70.2

Standards for Written Responses to Provider Inquiries

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

CMS requires MACs to maintain high standards when responding to provider inquiries in writing. The

standards ensure providers receive accurate, timely and comprehensive information to support their

Medicare billing and administrative needs. MACs must respond to provider inquiries within established

timeframes.

MACs shall evaluate the responses to written provider inquiries by employing CMS’s QWCM process.

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
bc8ebb7a57a33874a501fdf79840804d0dac67fc3410cd676a3ae15b669ed6f8
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CMS Pub. 100-09, ch. 6, § 70.2 — Standards for Writte… · binding.law