Medicare Program Integrity Manual (Pub. 100-08), Ch. 7 § 7.1.2.1
Cover Page
7.1.2.1 - Cover Page
(Rev. 599, Issued: 06-26-15, Effective: 12-07-15, Implementation: 12-07-15)
The cover page shall include the following information:
• MAC name and address
• MAC contract number
• States in jurisdiction
• Period of performance (an explanation shall be included if the IPRS is reporting
on a period of performance less than 12 months)
• Report coordinator contact information (name, telephone number and e-mail
address)
• IPRS due date and submission date