Medicare Secondary Payer Manual (Pub. 100-05), Ch. 7 § 70.7
Monitoring Debts Excluded from the DCIA Referral Process
70.7 – Monitoring Debts Excluded from the DCIA Referral Process
(Rev. 12438; Issued: 01-04-24; Effective: 02-06-24; Implementation: 02-06-24)
MSP Contractors shall monitor and report on debts that were selected for potential referral but met one of
the exclusions to the DCIA referral process. MSP Contractors shall monitor and determine any change in the
status of such debts which would lift the exclusion and make the debt subject to referral (for example, if a
debtor loses an appeal and still refuses to make payment or if CMS eliminates a litigation exclusion or a
CMS-identified exclusion). MSP Contractors shall refer a previously excluded debt to Treasury within
fifteen (15) calendar days after the date of a status change unless there are instructions to the contrary.