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Administrative Appeals for Provider Enrollment

Chapter 10 incorporates the new appeal provisions of Section 936 of the MMA and has been revised to provide instructions on issuing more detailed denial, revocation and reconsideration letters. The submission of corrective action plans and filing requirements are also addressed.

Download the Guidance Document

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

Issue Date: April 11, 2008

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.