Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.2.2.8.1.2
Joint Operating Agreement
4.2.2.8.1.2 - Joint Operating Agreement
(Rev. 11032; Issued: 09-30-21; Effective: 10-12-21; Implementation: 11-10-21)
This section applies to UPICs, SMRCs, MACs, RACs, and QICs, as indicated.
A JOA is a document developed between two entities (CMS contractors) that delineates
the roles and responsibilities of each entity regarding their interactions with each other
on CMS contracts.
The UPICs shall have JOAs with the entities as outlined in their Statement of Work. As
it applies to the UPIC’s task orders, the JOA with the MACs shall, at a minimum,
provide information on assigned responsibilities, timeframes, processes and procedures,
and coordination. Additional detail related to this information is referenced in the UPIC
Statement of Work.
Periodically, there are instances in which the UPIC is in need of the requested
information in a shorter timeframe than 30 calendar days. To account for these instances,
the UPICs and MACs may add language to their JOA that allows for a shorter timeframe
for the MAC to furnish the requested information (i.e. 48 hours, 72, hours, etc.).