Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 60.11
Write-off/Closed Approval Process
60.11 – Write-off/Closed Approval Process
(Rev. 12438; Issued: 01-04-24; Effective: 02-06-24; Implementation: 02-06-24)
CMS is responsible for approval or denial of all recommendations for Write-off/Closed for MSP AR made
based upon the criteria set forth in this Chapter.
When in receipt of a Write-off/Closed recommendation for a debt in which the debtor is deceased CMS will
determine the category of the debt. For example, wrongful death, medical malpractice, etc. Prior to approval
CMS will also determine if the estate is closed. Debts shall not be closed when the debtor is deceased and
the estate is still open or for a wrongful death matter where the wrongful death settlement, judgment, or
award is awarded to other than the beneficiary’s estate.
For the debts that have been recommended for Write-off/Closed, the MSP Contractor shall consider the
following:
1. For such debts, changes shall not be made to the AR for Write-off/Closed until written approval by
CMS is received.
2. For such debts, receipt of this approval authorizes the MSP Contractor to write-off the AR as closed,
and to update the AR and associated case in all appropriate systems. Where CMS does not approve a
recommended Write-off/Closed for a particular debt, CMS will annotate this clearly on the returned
form.