Issuance of the ITR to Treasury Letter

70.9 – Issuance of the ITR to Treasury Letter (Rev. 12438; Issued: 01-04-24; Effective: 02-06-24; Implementation: 02-06-24) Once MSP Contractors have identified and validated all eligible delinquent debts having a balance remaining, they shall send an ITR to Treasury letter with all appropriate attachments to the identified debtor (See § 70.3 of this Chapter for identified debtor definition.) MSP Contractors shall send ITR letters via first class mail, return receipt requested, to the identified debtor or joint and several debtor combination. Use of the ITR letter is mandatory (including the payment summary form and/or claims detail from the original demand letter properly annotated showing payments and/or valid documented defenses). In the case of a GHP debt the MSP Contractor shall: a) Send the ITR letter to the identified debtor; b) Enclose a copy of the payment summary form and/or claims detail with a proper accounting of all services/portion of the debt still owed Medicare; and c) Provide a courtesy copy to the insurer/ TPA (for other than federal employer situations). NOTE: When the ITR letter is issued and the amount of the debt has been previously reduced from the original demand letter, MSP Contractors shall appropriately annotate the payment summary form and/or claims detail. The debtor must be able to understand the figures referenced in the ITR letter. Consequently, screen prints or other annotations to the case file are insufficient. For liability, no-fault, and worker’s compensation cases, the MSP Contractor shall: a) Send an ITR to the identified debtor. Address the ITR letter to the identified debtor, with a copy to any authorized representative (if applicable). (See section 70.3 of this Chapter for debtor definition); and b) Enclose a copy of the payment summary form and/or claims detail with a proper accounting of all services/portion of the debt still owed Medicare. MSP Contractors shall issue a separate ITR letter for each debt, and shall issue a separate ITR letter to each debtor who may be joint and/or severally liable on the debt. Multiple debts may not be aggregated or otherwise combined in a single ITR letter. An ITR letters shall be debt specific. NOTE: MSP Contractors shall issue an ITR letter to allow the debtor to respond in the required timeframe contained in the letter and still, if necessary, refer the debt prior to or by the time it reaches 120 calendar days delinquency.