Notification to A/B MACs and DME MACs of MSP Auxiliary File Updates

10.5 - Notification to A/B MACs and DME MACs of MSP Auxiliary File Updates (Rev. 11550; Issued: 08-12-22; Effective: 10-13-22; Implementation:10-13-22) A/B MACs and DME MACs have the capability to log on to ECRS Web to generate an ECRS report with a list of their submissions and status of those submissions. A/B MACs and DME MACs can also search by the beneficiary’s Medicare beneficiary identifier to see what Inquiries/Assistance Requests have been submitted by all A/B MACs and DME MACs. A/B MACs and DME MACs shall be cognizant that the CM (i.e., completed) status in ECRS and the associated ECRS completion date is the same as the CWF maintenance date. A/B MACs and DME MACs shall use this date to timely resolve pending correspondence and other such workloads to be in compliance with the CMS 45 calendar day correspondence timeframe or other prescribed timeframes for designated MSP workloads. A/B MACs and DME MACs shall not send combined interim and final response letters. The A/B MACs and DME MACs shall follow the procedures cited in Pub. 100- 05, Chapter 5 section 10.5 and Pub. 100-09, Chapter 6 when responding to MSP incoming inquiries. This means the A/B MACs and DME MACs shall send an interim response if the final correspondence response cannot be sent within 45 calendar days. A final response is also required when an ECRS response of CM (completed) is received from the MSP Contractor. If claims are impacted, the final response shall be either a claim adjustment or, if necessary, direction that the provider contact the A/B MAC or DME MAC directly regarding any claim adjustments resulting from an updated MSP record. Contact the MSP Contractor if an ECRS response has not been received within 45 calendar days.