Medicare Financial Management Manual (Pub. 100-06), Ch. 3 § 170.8
Informal Referral to RO
170.8 – Informal Referral to RO
(Rev. 29, 01-02-04)
For Medicare overpayment purposes a referral is a request to the Regional Office for assistance in an
overpayment. This may be for a waiver determination, a termination request, a request for technical
assistance, a referral to the Department of Justice, or any other aspect of the debt collection process. The
referral may be in the form of an email, phone, fax, or written correspondence. Any referral to the RO
should occur before the debt is eligible to be referred to the Department of Treasury. If changes occur to
the debt during the referral process, the FI/Carrier should immediately notify the RO.
Attachment A, located after the bankruptcy section, includes a referral checklist that FI/Carrier’s should
utilize if necessary.