Escalated Inquiries Involving Payment Suspensions

4.8.4.3 – Escalated Inquiries Involving Payment Suspensions (Rev. 13821; Issued:06-09-26; Effective: 02-26-26; Implementation: 02-26-26) This section only applies to UPICs. For payment suspension matters that have been escalated: • The UPIC shall prepare a draft email response to the provider, supplier, or authorized representative. • The draft must be submitted to the UPIC’s designated BFL in the Division of Investigative Support (DIS) with a copy (cc) to the Contract Officer’s Representative (COR) and Division of Provider Investigations (DPI) BFL for CMS clearance prior to release. • Upon clearance, the UPIC must blind copy (bcc) or forward the final communication to the above CMS staff (in DIS, CMG and DPI) for awareness and documentation.