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14275 13494 Updates of Chapters 1-5 in Publication (Pub.) 100-15, Including Updates to the Guidance Terminology, Existing Definitions, and Details to Standing Guidance The purpose of this Change Request (CR) is to revise various sections within Chapters 1-5 in Pub. 100-15. The revisions include updates to terminology, definitions, and details to existing guidance. Additionally, this update includes detailed updates to the Medicaid overpayment creation process. Health Care HHS Employees/ Contract

The purpose of this Change Request (CR) is to revise various sections within Chapters 1-5 in Pub. 100-15. The revisions include updates to terminology, definitions, and details to existing guidance. Additionally, this update includes detailed updates to the Medicaid overpayment creation process.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 23, 2025

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.