CMS has finalized the form to use in computing the self-determined hospice cap. The form labeled 'PROVIDER SELF-DETERMINED AGGREGATE CAP LIMITATION' is attached. Instructions for completing the form are also attached. The form is only one page. The top section contains the cap computation. The lower section contains the certification statement. Be sure to complete both sections.
Please note the following related to submitting the self-determined hospice aggregate cap for the period ended October 31, 2014. The due date for submitting the form isMarch 31, 2015. Only send the signed form (supporting information is not needed). Current instructions do not include sequestration as part of hospice payments subject to the cap, if CMS moves forward to added sequestration payments to the hospice cap it will be done by the Medicare Administrative Contractor (PalmettoGBA, CGS, or NGS).
PalmettoGBA actually sent Hospice PSR's to their providers in late February. CGS and NGS Hospice providers will be required to obtain their own PSR. If a hospice does not currently have access to the PS&R system, please register for access through the Enterprise Identity Management System (EIDM) when that system is available. Providers will be required to register in the EIDM system in order to have access to their PS&R data and the Medicare Contractor will no longer be providing the PS&R data.
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