Medicare Financial Management Manual (Pub. 100-06), Ch. 4 § 70.11
Actions Subsequent to Debt Referral (Rev. 11787; Issued:01-
70.11 - Actions Subsequent to Debt Referral (Rev. 11787; Issued:01-
19-23; Effective: 04-21-23; Implementation:04-21-23)
Once the debt is referred for cross servicing, active collection efforts by the contractors and/or CMS shall
cease. However, debt referred for cross servicing and/or TOP shall still be maintained in HIGLAS or in
the contractors’ internal systems for financial reporting, interest accrual, and possible internal
recoupment. The contractor not utilizing HIGLAS shall be responsible for updating all the applicable
systems. The contractor shall utilize the Debt Referral Form for the manual change of the status and the
balance of the debt at Treasury.