Closure/Retraction Files

9.5.4 – Closure/Retraction Files (Rev. 921, Issued: 11-06-19 Effective: 11-04- 19, Implementation: 11-04-19) The MAC shall cease adjustment activities upon written request from the RAC, including evidence of any the CMS required approval, as applicable. This activity could occur prior to the creation of the accounts receivable (AR). Activity could occur after creation of AR but before offset. The RAC acknowledges that if the notification is not received prior to the 36th day, offset will occur and RAC shall follow up with an adjustment file (same file format). The MAC shall change the offset flag to “N” on the RAC account receivable upon written request from the RAC, including evidence of any CMS required approval, as applicable. The MAC shall follow CMS requirements for repayment. The MAC shall notify the RAC when the stop recovery actions are complete.