Medicare Claims Processing Manual (Pub. 100-04), Ch. 29 § 320.3
MAC Responsibilities - General
320.3 - MAC Responsibilities - General
(Rev. 4380, Issued: 08-30-19, Effective: 07-08-19, Implementation: 10- 01-19)
The contractor’s responsibilities for reconsiderations are:
1. Preparing and forwarding case files upon request from a QIC in accordance with
§§320.4, 320.5, 320.6 and the JOA;
2. Effectuating reconsiderations when notified by the QIC of a favorable decision or
unfavorable decision with a change in liability in accordance with § 320.8 and
notifying the QIC of receipt of effectuation information;
3. Preparing case files and forward misfiled reconsideration requests in accordance
with § 320.1(B); and
4. Entering into JOAs with the appropriate QIC(s) and Administrative QIC (AdQIC);
Complying with the appropriate JOAs.