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Updates of Chapter 4, Chapter 8, and Exhibits in Publication (Pub.) 100-08, Including Prioritization and Payment Suspension Language Guidance

The purpose of this Change Request (CR) is to update sections within Chapter 4, Chapter 8, and Exhibits in Pub. 100-08. The updates in this CR include, but are not limited to, Unified Program Integrity Contractor (UPIC) guidance regarding how to prioritize Accountable Care Organization (ACO) referrals, payment suspension language guidance, and updates to model payment suspension letters.

Download the Guidance Document


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

Issue Date: February 22, 2024

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.