Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 240.1

Good Cause

Last amended: 2019Year: 2019Length: 161 wordsOfficial source
240.1 - Good Cause (Rev. 4278, Issued: 04-12-19, Effective: 06-13-19, Implementation: 06-13-19) If an appeal request is filed late, the applicable MAC may extend the time limit for filing an appeal if good cause is shown. The MAC resolves the issue of whether good cause exists before taking any other action on the appeal. Whenever a MAC makes a finding for good cause for late filing, the MAC shall document the reason for that finding in the redetermination decision letter. If no decision letter is issued (i.e., a decision fully favorable to the appellant is made, which currently does not require issuance of a redetermination decision letter), then the reason the MAC found that good cause exists for late filing shall be documented in the redetermination case file. NOTE: A finding by the MAC that good cause exists for late filing for the redetermination does not mean that the party is then excused from the timely filing rules for the reconsideration.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 240.1: Good Cause | Justis AI