Medicare Program Integrity Manual (Pub. 100-08), Ch. 9 § 9.8
Referrals to the Department of the Treasury
9.8 - Referrals to the Department of the Treasury
(Rev. 921, Issued: 11-06-19 Effective: 11-04- 19, Implementation: 11-04-19)
All overpayments identified by the RAC shall follow the normal referral to Treasury
process. The MAC shall issue the Intent to Refer letter following the normal process. The
MAC shall update the RACDW with the referral to Treasury status code once referral is
complete. If the MAC receives a question or dispute after referral that cannot be
answered through the case file, the MAC shall contact the RAC for assistance. The
communication process for the transfer of debt shall be agreed upon in the JOA.