Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 130.2

The Contractors Contact Only the Owner of Record

Last amended: 2025Year: 2025Length: 227 wordsOfficial source
130.2 – The Contractors Contact Only the Owner of Record (Rev. 13235; Issued: 05-22-25; Effective: 06-23-25; Implementation: 06-23-25) Once the Contractor receives a tie-in notice from the CMS or SA, indicating that the CHOW processing is complete, the Contractor deals exclusively with the new owner on issues pertaining to the provider. If there are issues that the Contractor is unable to resolve, they may contact the Centers for Program Integrity (CPI), Provider Enrollment & Oversight Group (PEOG) and/or the Center for Clinical Standards & Quality (CCSQ), Survey & Operations Group (SOG). Where there has been more than one CHOW, the Contractor deals with the provider’s current owner of record. A. Overpayment/Demand Letters The Contractors shall send demand letters or overpayment notification letters only to the provider’s current owner. Refer to CMS Publication 100-06, Chapter 3, Section 40.1 & 40.2. B. Refunds Based on Appeal Decisions The Contractor sends payment/s resulting from a reimbursement appeal to the providers current owner. This includes, but is not limited to, payments that result from administrative or court decisions, from administrative resolutions or court settlements. C. Civil Money Penalties (CMP) Imposed for Quality-of-Care Deficiencies When the CMS asks the Contractor to reduce ongoing Medicare payments to recoup a CMP, the Contractor collects the CMP from ongoing payments to the current owner, regardless of the dates for which the CMS imposed the CMP.
Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 130.2: The Contractors Contact Only the Owner of Record | Justis AI