Skip to Main Content

Print | Bookmark | Font Size: + | –

October 22, 2026

Important Update: Notice of Review Letters for TPE Rounds 2 & 3

CGS would like to inform you of an important update regarding the Notice of Review letters associated with Targeted Probe and Education (TPE).

What Has Changed?

Effective immediately, HHH no longer issues individual Notice of Review letters for Rounds 2 and 3 of the TPE process. Providers will continue to receive a Notification Letter only prior to Round 1, as required by CMS guidance.

This change was implemented to enhance operational efficiency and better allocate resources toward provider education. CMS IOM requirements specify that written notification is required before the initial round only, not before each subsequent round.

How Providers Will Be Notified of Subsequent Rounds:

  • The CGS HHH website displays anticipated start dates for upcoming rounds: https://www.cgsmedicare.com/hhh/medreview/tpe_process.html
  • Providers receive round‑specific guidance during their post‑probe education session.
  • The Additional Documentation Request (ADR) now serves as the official notification that the next round has begun. Providers have 45 days to submit documentation.

Important Timing Reminder:

  • After receiving a results letter, providers have 14 days to request education.
  • Following education (or refusal), the 45‑day timeframe begins before ADRs for the next round will be issued.

We are sharing this update to reduce confusion and ensure all providers understand the revised notification process. Thank you for your continued partnership and commitment to accurate and timely documentation.

spacer

26 Century Blvd, Suite NT600, Nashville, TN 37214 © CGS Administrators, LLC. All Rights Reserved