The CMS Office Jurisdiction Generally Parallels the Bankruptcy Court

140.3.4 - The CMS Office Jurisdiction Generally Parallels the Bankruptcy Court Where Case is Filed (Rev. 13825; Issued: 06-11-26; Effective: 07-13-26; Implementation: 07-13-26) In most cases, the RO which has jurisdiction over a bankruptcy case is the one which has jurisdiction over the State in which the debtor files for bankruptcy (bankruptcy is filed in federal court). This RO will usually be the lead RO. The RO will contact the contractor. The ROs will review each bankruptcy, even when no current overpayments exist, since the possibility of overpayment determinations remains until the FI settles all cost reports. Medicare is an unsecured creditor in bankruptcy, and is among the last creditors to receive a distribution of funds, unless it takes proactive steps to protect Medicare's interests.