Contractor Workload Transitions

80 - Contractor Workload Transitions (Rev.108, Issue: 11-03-17, Effective: 12-04-17, Implementation: 12-04-17) Fee-for-Service contractor workload transitions occurred when a Medicare Administrative Contractor’s (MAC’s) period of performance ends or its contract is terminated. When either of these two circumstances occurs, the outgoing contractor is required to work with the new incoming contractor to transfer the Medicare workload without any disruption to providers and beneficiaries. During a transition, the outgoing contractor has responsibilities and processes for closing out its Medicare contract and shutting down its operation. It must also assist the new incoming contractor in its efforts to assume the Medicare claims administration functions. Concurrently, the incoming contractor is required to establish an operational infrastructure and ensure that all data, records, and functions are properly transferred from the outgoing contractor. Both parties have a responsibility to ensure that the transition is conducted seamlessly and that all contractual obligations are met during the transition.