The Alliance responded to CMS' Request for Information (RFI) issued in September to obtain stakeholder feedback  on the potential consolidation of four Medicare Administrative Contractors (MAC) jurisdictions into two jurisdictions, as well as to obtain feedback on extending MAC contracts to ten years. In its response, the Alliance emphasized the need for improved CMS oversight and transparency in MAC operations as well as provided feedback on issues spanning staffing and staff training, care disruption concerns, Contractor Advisory Committee (CAC) engagement, evidence evaluation processes, provider communications, prior authorization, appeals, reconsideration requests, and more.

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