Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 140.4.2
Respond to the CMS Office Requests for Information
140.4.2 - Respond to the CMS Office Requests for Information
(Rev. 13825; Issued: 06-11-26; Effective: 07-13-26; Implementation: 07-13-26)
Upon receiving notification of a new bankruptcy, the Contractor shall prepare a Bankruptcy Referral
Checklist. The checklist is now divided into two (2) tiers, each designed to gather the bankruptcy
information. The Contractor shall refer to Section 140.1 – Bankruptcy forms - for information required
to be submitted to the CMS Office.