These notices are being sent to non-compliant providers via certified mail and email. This is the first step in debt collection. Providers who believe that they have received a repayment notice an error (e.g., they are not required to return or submitted all required PRF reports) can seek a Decision Review. Providers only have 60 days from receipt of the notice to submit a decision review request. This is the final appeal process for all PRF decisions so it is critical that providers take action. More details on the notices and decision review can be found in this LeadingAge article.