Medicare Claims Processing Manual (Pub. 100-04), Ch. 33 § 10.5
Notice of Penalty Waiver Policy
10.5 - Notice of Penalty Waiver Policy
(Rev. 739, Issued: 11-01-05, Effective: 07-24-03, Implementation: 01-19-06)
Notice of the penalty waiver policy shall be included in every notice of the intent to
impose a penalty. Such notice must include a statement instructing the provider or
supplier how to perfect a penalty waiver request, including the deadline for doing so
(which should be congruent with the process for imposing the penalty at issue). In
addition, such notice must include either a full statement of the conditions that must be
met for a penalty waiver to be granted or the URL of a Web page where the policies of
this section may be reviewed.
In the case of a penalty imposed before the implementation date of this policy, an
affected provider or supplier will be afforded the opportunity to request a penalty waiver
up to 120 days after such implementation date. As such, an affected provider or supplier
has until May 19, 2006, to file a request for a penalty waiver to the appropriate Medicare
contractor. Specific notice to an affected provider or supplier of the policies of this
section and the extended deadline for filing a waiver request is not required unless the
Medicare contractor is actively communicating with such provider or supplier concerning
a penalty imposed before the implementation date of this section.