Decision Review – Management Decision Letters

How to submit a Decision Review Request

Providers who are audited/assessed will receive an audit/assessment report along with a Management Decision Letter with either non-monetary and/or monetary findings. If there are monetary findings, the Management Decision Letter will include the repayment amount.

Providers who disagree with the finding(s) and/or repayment amount have an option to request a review of HRSA's decision by taking the following steps:

1. Review the Management Decision Letter sent by HRSA which contains important information needed including:
   1. Explanation of finding(s) (also refer to the audit/assessment report)
   2. Last three digits of Taxpayer Identification Number (TIN)
   3. Repayment ID
   4. Repayment amount
   5. Web address for the Decision Review Portal
2. Visit the Decision Review Portal and submit a Decision Review Request using the Repayment ID within 60 days of the date of the Management Decision Letter. Providers will receive a submission confirmation at the email address included in the request.
3. HRSA will notify providers when a decision is made or if additional information is required only via the email address specified in the Decision Review Request.
4. If your organization submits a Decision Review Request, you may decide to pay the debt while a Decision Review Request is pending. If HRSA does not sustain its initial determination, the amount no longer due will be returned to your organization.
5. All decisions are final. As a result of a Decision Review Request, the provider will receive a Final Determination Letter, via the email address specified in the Decision Review Request. If applicable, any unpaid debts may be referred to the Program Support Center (PSC) for debt collection and will be subject to interest and penalties as specified in the Management Decision Letter.  

Documentation

Providers can submit documentation in the Decision Review Portal related to (1) the reason payments must be returned or (2) the amount HRSA has indicated must be repaid.

• The Decision Review Portal only supports Microsoft Excel and Adobe PDF formats.
• There is a combined file size limit of 25 MB per submission. The Portal does not accept submissions that exceed the file size limit.
• Providers cannot upload additional documentation in the Portal after submitting a Decision Review Request, so providers are encouraged to carefully review all documentation before submitting their request.

Help with decision review

For assistance with submitting a Decision Review Request or to verify a submission, contact Decision Review Provider Support using the information in the Management Decision Letter.