myCGS

Forms

Reconsiderations (HHH and Part A)

Home Health, Hospice, and Part A providers may request a Reconsideration (second-level appeal) through myCGS. The request must be submitted within 180 days from the date of receipt of the Redetermination decision. In cases where the Redetermination request is dismissed, a Reconsideration may be requested within 60 days of the dismissal notice.

The form is available under the Claims tab for claims that have completed the 1st level appeal, Redetermination. Refer to the Appeals: Submitting a 2nd Level Appeal section of this manual for step-by-step instructions on how to submit a 2nd level appeal.

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