Effective Dates: 8/29/2023 - Present

Identification Number:
HI 00820 TN 22
Intended Audience:See Transmittal Sheet
Originating Office:Centers for Medicare & Medicaid Services (CMS)
Title:Terminations and Withdrawals
Type:POMS Full Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM

Part HI – Health Insurance

Chapter 008 – Requirement for Entitlement and Termination

Subchapter 20 – Terminations and Withdrawals

Transmittal No. 22, 08/29/2023

Audience

PSC: BA, CA, CS, DS, ICDS, IES, ILPDS, IPDS, ISRA, PETE, RECONR, SCPS, TSA, TST;
OCO-OEIO: BET, BIES, CR, EIE, ERE, FCR, PETL, RECONR;
OCO-ODO: BET, BTE, CCE, CR, CST, CTE, CTE TE, DEC, DSE, LCC, PAS, PETE, PETL, RCOVTA, RECOVR;
FO/TSC: CS, CS TII, CSR, CTE, DRT, FR, OA, OS, RR, TA, TSC-CSR;

Originating Component

CMS

Effective Date

Upon Receipt

Background

The CMS-L457 and CMS-L458 have been archived.  Language regarding how an individual can cancel a termination request has been added to the CMS-1763.  Further, technicians should advise individuals that if they want to cancel their request for termination, they should contact SSA prior to the date of coverage stoppage.

Summary of Changes

HI 00820.902 EXHIBIT 2 - Form CMS—L457 (Acknowledgement of Request for Medicare Part B Termination)

This POMS section will be archived.

HI 00820 TN 22 - Terminations and Withdrawals - 8/29/2023