Notice to MAC - Voluntary Termination

3047 - Notice to MAC - Voluntary Termination (Rev. 202, Issued: 06-19-20, Effective: 06-19-20, Implementation: 07-27-20) The SA notifies the MAC when it receives notice that a provider or supplier wants to terminate its participation. The SA completes a CMS Form-1539 and sends the form along with the letter to the MAC. This permits the MAC to make preliminary arrangements for final cost reports and final settlement, and to adjust any outstanding payments to avoid overpayments in accordance with the MAC instructions.