Provider is No Longer Participating in Medicare and Not Participating in

20.2 - Provider is No Longer Participating in Medicare and Not Participating in Medicaid (Rev. 12946, Issued:11-08-24; Effective: 12-10-24; Implementation:12-10-24) If the Contractor becomes aware that there is an imminent likelihood that a provider will be terminating from the Medicare program it shall contact the RO with regard to future collection efforts. If the Contractor discovers an overpayment upon the filing of a cost report, or on determination of program reimbursement, with respect to a provider no longer participating in Medicare, it shall immediately contact the terminated provider to obtain a refund in a lump-sum, if it has not been made. The Initial demand letter shall be sent, and all subsequent collection activities performed as specified in §20.1 and Chapter 4, §10-20. If the terminated provider has sold the entity to a participating provider refer to Chapter 3, §130 for change of ownership instructions.