AHCA: CMS Announces Temporary Provider Enrollment Moratorium

The Centers for Medicare & Medicaid Services have announced a temporary moratorium on the enrollment of new home health provider enrollments in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) in fraud “hot spot” areas of the country. The goal of the temporary moratorium is to fight fraud and safeguard taxpayer dollars, while ensuring patient access to care. Authority to impose such moratoria was included in the Affordable Care Act, and CMS is exercising this authority for the first time.

Under the moratorium, existing providers and suppliers can continue to deliver and bill for services, but no new provider and supplier applications will be approved in the designated area for a six month period.  The temporary enrollment moratoria applies to newly-enrolling home health agencies in Miami-Dade and Monroe.  CMS announced the temporary moratoria in a notice issued July 26, 2013 in the Federal Register.

The Federal Register notice can be downloaded at: https://www.federalregister.gov/public-inspection.

In compliance with this moratorium, the Agency for Health Care Administration will deny any new or pending applications for licensed home health providers located in Miami-Dade or Monroe counties effective July 30, 2013.

Note: This moratorium does not apply to home health agencies seeking to register as a treating provider contracted with a Medicaid capitated managed care plan.

Tags: , , , , ,

%d bloggers like this: