Joint Operating Agreement

9.2.5 – Joint Operating Agreement (Rev. 921, Issued: 11-06-19 Effective: 11-04- 19, Implementation: 11-04-19) All MACs and UPICs shall develop a Joint Operating Agreement (JOA) with each RAC in their jurisdiction. The JOA shall be mutually approved by all contractors and by CMS prior to its effective date. The JOA shall cover all requirements in this Internet Only Manual (IOM), but may expand upon those requirements and may provide alternative timeframes. The JOA shall include communication processes and timeframes for adjustments, recoupments, appeals, inquiries, and receipt of provider names and addresses.