State Operations Manual (Pub. 100-07), Ch. 3 § 3048

Notice to Provider or Supplier - Voluntary Termination

Last amended: 2020Year: 2020Length: 125 wordsOfficial source
3048 - Notice to Provider or Supplier - Voluntary Termination (Rev. 1, 05-21-04) 3048A - Voluntary Termination (Rev. 202, Issued: 06-19-20, Effective: 06-19-20, Implementation: 07-27-20) The MAC will notify the provider or supplier of approval of voluntary termination. The MAC sends copies of the letter to the SA, RO, and AO. For Medicaid-only certified facilities or dually-certified Medicare and Medicaid facilities, the SA will send notification to the RO and SMA. 3048B - Close of Business (Rev. 202, Issued: 06-19-20, Effective: 06-19-20, Implementation: 07-27-20) The RO sends a letter modeled after Exhibit 190 to the provider with copies to the SA, MAC, and, if appropriate, the SMA. If a supplier is closing, the RO notifies the MAC and sends a letter modeled after Exhibit 191.
State Operations Manual (Pub. 100-07), Ch. 3 § 3048: Notice to Provider or Supplier - Voluntary Termination | Justis AI