Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 280.5
Requests to Suspend the Appeals Process
280.5 - Requests to Suspend the Appeals Process
(Rev. 2729, Issued: 06-21-13, Effective: 07-23-13, Implementation: 07-23-13)
The MAC does not have the authority to suspend redeterminations at the request of the Office of the
Inspector General (OIG) or the Department of Justice (DOJ) without approval and direction from CMS
central office (CO). If the OIG or DOJ submits a request to suspend a redetermination, the MAC shall first
bring that request to the attention of CO through the RO.