CMS Administrator issued a
Temporary Moratorium to prohibit enrollment of new home health agencies in
Miami-Dade County, Florida and surrounding counties and Cook County, IL and
surrounding counties. They have also issued
a Temporary Moratorium to prohibit enrollment of new ambulance providers in
Harris County, TX and surrounding counties.
This authority was granted as part of the Patient Protection and
Affordable Care Act and the Health Care and Education Reconciliation Act of
2010. These are also known as the
Affordable Care Act. This moratorium
applies to the Medicare Program, the Medicaid Program, and the Children’s
Health Insurance Program.
A final rule was published
in the Federal Register on February 2, 2011 titled “Medicare, Medicaid, and
Children’s Health Insurance Programs; Additional Screening requirements,
Application Fees, Temporary Enrollment Moratoria, Payment Suspension and
Compliance Plans for Providers and Suppliers. The final rule states CMS may
impose a temporary moratorium on newly enrolling Medicare Providers and
Suppliers if they determine that there is
a significant potential for fraud, waste, or abuses with a particular provider
or supplier type or particular geographic areas or both. The Moratorium is for a six month period, but
may be extended beyond for additional six month periods if CMS determines it
needs to remain in place.
The moratorium for new
home health agency enrollment applies to Miami-Dade County and Monroe County in
Florida. The moratorium for new home
health enrollment applies to Cook, DuPage, Kane, Lake, McHenry, and Will
Counties in Illinois. The moratorium for
new ambulance suppliers in Harris, Brazoria, Chambers, Fort Bend, Galveston,
Liberty, Montgomery, and Waller counties in Texas.
For more information
please use the following temporary link:
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