Medicare Program Integrity Manual (Pub. 100-08), Ch. 10 § 10.3.1.3.3
(Final Adverse Legal Actions/Convictions) - Form CMS-
10.3.1.3.3 – Section 3 (Final Adverse Legal Actions/Convictions) - Form CMS-
855I
(Rev. 11839; Issued: 02-09-23; Effective: 04-21-23; Implementation: 06-19-23)
See section 10.6.6 of this chapter for information regarding final adverse actions. Except as
otherwise stated, the PECOS policies in section 10.3 supersede those in section 10.6.6 (e.g.,
communicating with the provider via the PCV).