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US · guidance

CMS Pub. 100-09, ch. 6, § 80.3.2.11

Inquiry Capability Reporting

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

Inquiry Capability Reporting includes IVR and Secure Internet Portal self-service technology capabilities.

MACs shall:

• Select the jurisdiction inquiry capabilities from a list based on the applicable CMS

standardized provider inquiry capabilities chart (IVR or Portal). After the initial

entry, MACs only need to verify the data each month and make any changes

• Use the applicable glossary link in the module to review definitions from the

related CMS standardized provider inquiry capabilities chart when necessary

• Select the “Not Classified” subcategory when the MACs capability handles inquiries

only at the category level or cannot breakdown the nature or the transaction issues

into an existing subcategory or into a new one

• Use the report’s comment field to inform CMS about relevant IVR or Secure Internet

Portal inquiry capability reporting information

• Report capabilities by MAC jurisdiction if multiple jurisdictions apply

• Email the provider services mailbox at least 30 days before the MAC adds an inquiry

capability. When adding a capability MACs shall include a brief IVR or Secure Internet

Portal inquiry capability description and its requested effective date

Additional information is available in PCID documentation.

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
f8f1d3edfc02a1630d6acd13ff4f426b5d8151d696cb7d86626c4b71fccf773d
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