Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.8.4.1
Congressional Inquiries
4.8.4.1 – Congressional Inquiries
(Rev. 13821; Issued:06-09-26; Effective: 02-26-26; Implementation: 02-26-26)
If a UPIC directly receives a Congressional Inquiry from any external requestor and/or
CMS components other than CPI, they shall immediately submit the Congressional
Inquiry for processing to the appropriate CMS BFL or designated staff person (dependent
upon the nature of the Congressional Inquiry; i.e. investigation related, payment
suspension related, etc.). The UPIC shall also send a copy of the communication to their
COR.
Once the Congressional Inquiry is received by CMS, it will be logged, reviewed, and
assigned to the appropriate UPIC(s), as needed. Upon UPIC receipt of a Congressional
Inquiry assignment, the UPIC shall prepare all relevant information as requested in the
Congressional Inquiry, and submit the information to the appropriate CMS BFL or
designated staff person, with a copy to their COR, by an agreed upon date and delivery
method. The UPIC shall not respond directly to the Congressional Office. Upon CMS
receipt of the UPIC’s relevant information, CMS will coordinate internally and respond
to the inquiry as needed