Notice library
Healthcare and HHS programs
16 notice types from this area, each with its deadline, response options, and sources.
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CLIA Laboratory Deficiency Plan of Correction
CMS regulates approximately 320,000 CLIA-certified laboratories in the United States under 42 CFR Part 493. When CMS surveyors (or State Agency surveyors acting as CMS agents) find...
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CMS Medicare Ambulatory Surgery Center Survey Deficiency Plan of Correction
CMS and state survey agencies survey Medicare-certified Ambulatory Surgery Centers (ASCs) to assess compliance with ASC Conditions for Coverage (42 CFR Part 416). Approximately 6,300...
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CMS Medicare MAC Additional Documentation Request Response
Medicare Administrative Contractors (MACs) conduct medical review of Medicare claims by issuing ADRs to providers when documentation is necessary to support a Medicare claim. MAC medical...
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CMS Nursing Home Survey Deficiency IDR
As of 2024, there are approximately 14,900 Medicare/Medicaid certified skilled nursing facilities (SNFs) in the United States. CMS requires annual standard surveys of all Medicare/Medicaid...
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DMEPOS Annual Accreditation Survey Deficiency Plan of Correction
Effective January 1, 2026, CMS finalized a rule requiring annual accreditation surveys for all DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) suppliers as a...
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DMEPOS Supplier ACHC/HQAA Accreditation Deficiency CAP
Effective January 1, 2026, CMS requires that all DMEPOS suppliers be resurveyed by their accrediting organization at least once every 12 months, a shift from the previous 36-month...
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HHS OCR HIPAA Complaint Investigation Response
HHS OCR receives over 30,000 HIPAA complaints per year and formally investigates approximately 5,000–8,000 cases, with small healthcare providers (solo practices, small group practices,...
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HHS OCR HIPAA Investigation Response Navigator for Small Medical Practices
HHS Office for Civil Rights has received more than 374,000 HIPAA complaints since 2003 and resolves approximately 99% of cases. OCR entered into 13 resolution agreements in 2025 (through...
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HHS OIG Notice of Intent to Exclude — Medicare/Medicaid Provider Response
The HHS Office of Inspector General (OIG) is authorized to exclude individuals and entities from participation in Medicare, Medicaid, and all federal healthcare programs under 42 U.S.C. §...
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Medicare Enrollment Revocation
Medicare enrollment revocation by CMS (under 42 CFR 424.535) triggers two parallel response options with hard deadlines: (1) Corrective Action Plan (CAP), available when the revocation...
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Medicare Overpayment Demand Response
Medicare Administrative Contractors (MACs) issue overpayment demand letters after post-payment audits identifying improper payments. Key deadlines: (1) 30 days from demand letter to pay in...
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Medicare RAC Audit Overpayment Redetermination Appeal
Medicare Recovery Audit Contractors (RACs) are CMS-contracted auditors who identify and collect Medicare overpayments on a contingency fee basis (RAC keeps a percentage of what they...
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Medicare RAC Overpayment Redetermination Appeal
CMS's Recovery Audit Contractor program identifies Medicare Fee-for-Service overpayments; on April 28, 2025, CMS awarded Cotiviti GOV Services LLC the RAC contracts for Regions 3, 4, and 5,...
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OIG LEIE Healthcare Exclusion Reinstatement Application
OIG excludes approximately 3,000 individuals and entities per year from participation in Medicare, Medicaid, and all federal healthcare programs. Exclusion is added to the LEIE (List of...
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State Medicaid Provider Enrollment Termination Appeal Navigator (NC Beachhead)
Under 42 CFR § 455.416 (the federal Medicaid managed care and fee-for-service provider termination regulation), state Medicaid agencies must terminate providers from enrollment for: (1) any...
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State Medicaid RAC Overpayment Appeal
The Affordable Care Act requires every state to operate a Medicaid Recovery Audit Contractor program under 42 CFR 455 Subpart F, using contingency-fee contractors to identify Medicaid...