Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.8.4.1

Congressional Inquiries

Last amended: 2026Year: 2026Length: 173 wordsOfficial source
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
Medicare Program Integrity Manual (Pub. 100-08), Ch. 4 § 4.8.4.1: Congressional Inquiries | Justis AI