Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.3.2
Contractors Must Recognize and Advise CMS Staff About Potential
140.3.2 - Contractors Must Recognize and Advise CMS Staff About Potential
Provider Bankruptcies
(Rev. 13825; Issued: 06-11-26; Effective: 07-13-26; Implementation: 07-13-26)
Contractor staff must be alert to news or notices of bankruptcy and notify CMS staff immediately.
Contractor staff should alert the CMS staff to all potential bankruptcies to the OPOLE IFM Bankruptcy
mailbox at OPOLE_IFM_Bankruptcy@cms.hhs.gov
Bankruptcy warning signs for Contractors (indications that a provider is experiencing financial
difficulty, and may file for bankruptcy):
1. Frequent unfiled or late-filed cost reports.
2. Failure to make timely payments on an extended repayment plan schedule.
3. Frequent changes of ownership.
4. Litigation
5. Voluntary or involuntary termination from the Medicare Program.
6. Provider has difficulty meeting payroll.
7. History of significant overpayment determinations.
8. Significant decline in Medicare and/or total patient census.
If the Contractor sees multiple early warning signs, contact the OPOLE IFM Bankruptcy mailbox at
OPOLE_IFM_Bankruptcy@cms.hhs.gov