CMS Imposes Six-Month Moratoria on New Enrollments of Home Health Agencies and Ambulance Suppliers in Three Fraud “Hot Spots”

more+
less-

Last week, CMS announced temporary moratoria on the enrollment of new home health providers and ambulance suppliers in Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) in three fraud “hot spots.”  The Affordable Care Act granted the Secretary of CMS the authority to impose a temporary moratorium on the enrollment of new fee-for-service Medicare, Medicaid, or CHIP providers and suppliers if the Secretary determines that a moratorium is necessary to prevent or combat fraud, waste, or abuse under these programs, but this is the first time that CMS has exercised this authority.

The temporary enrollment moratoria apply to newly-enrolling home health agencies in the Miami and Chicago metropolitan areas and newly-enrolling ground ambulance suppliers in the Houston metropolitan area.  According to CMS, existing providers and suppliers in these areas can continue to deliver and bill for services under the moratoria, but new provider and supplier applications will not be approved in these areas. 

A copy of CMS’s notice is available by clicking here.

Reporter, Ramsey Prather, Atlanta, + 1 404 572 4624, rprather@kslaw.com.

Written by:

Published In:

CMS

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© King & Spalding | Attorney Advertising

Don't miss a thing! Build a custom news brief:

Read fresh new writing on compliance, cybersecurity, Dodd-Frank, whistleblowers, social media, hiring & firing, patent reform, the NLRB, Obamacare, the SEC…

…or whatever matters the most to you. Follow authors, firms, and topics on JD Supra.

Create your news brief now - it's free and easy »

All the intelligence you need, in one easy email:

Great! Your first step to building an email digest of JD Supra authors and topics. Log in with LinkedIn so we can start sending your digest...

Sign up for your custom alerts now, using LinkedIn ›

* With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name.
×
Loading...
×