Programs
Regulatory Updates
Total of 165 Records Returned
State: All
CMS 2025 Proposed Rule for Hospitals and Ambulatory Surgical Centers
Date Posted : 07/19/2024
Program: Acute Care Hospital, Ambulatory Surgical Centers (ASC), Critical Care Hospital
This proposed rule would revise the Medicare hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2025 based on our continuing experience with these systems.
Read MoreState: All
CMS Request for electronic funds transfer (EFT) form for DMEPOS providers
Program: Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Pharmacy
All DME Suppliers Should Act Immediately All DME suppliers - even those that didn’t receive one of the April 25 letters - should ensure that none of their locations receive paper checks from Medicare hasta pronto! For any locations that do, suppliers should:
- Submit Form CMS-588 and a copy of a voided check to the applicable enrollment contractor before July 24, 2024. Be sure an authorized or delegated official from PECOS signs the enrollment document.
- Attach a copy of the April 25 letter for easier enrollment processing. If the letter is not available, we recommend suppliers prepare an attachment listing NPIs and PTANs.
- NPE East – https://www.novitas-solutions.com/webcenter/portal/DMEPOS/pagebyid?contentId=00291192
- NPE West - https://www.palmettogba.com/palmetto/npewest.nsf/DID/CHEQ2K5614
State: Maryland
Maryland Department of Health Issues Six-Month Pause on New Enrollments of Select Provider Types to Address Potential Fraud, Waste, and Abuse
Date Effective : 07/1/2024
Program: Behavioral Health
Effective July 1, 2024, the Maryland Department of Health is imposing a six-month pause on new enrollments into the Maryland Medicaid Program of the following behavioral health program types, which are licensed under Maryland Code of Maryland Regulations 10.63 and 10.09:
- Psychiatric Rehabilitation Programs
- Psychiatric Rehabilitation Programs, Health Home
- Level 2.5 Partial Hospital Programs, and
- Level 2.1 Intensive Outpatient Treatment Programs
State: Texas
MLN Fact Sheet Updated – Period of Enhanced Oversight for New Hospices
Date Posted : 07/3/2024
Program: Hospice
CMS issued an updated MLN Fact Sheet recently to include that a hospice that is reactivated after being deactivated will be considered a new hospice and thus subject to the period of enhanced oversight for new hospices. This MLN is applicable to hospices in Arizona, California, Nevada, and Texas.
Read MoreState: All
Hospice Certifying Physician Enrollment Requirement – CMS Q&A
Date Posted : 06/6/2024
Program: Hospice
On June 6, 2024, CMS published a Q&A document related to enrollment requirements for hospice certifying physicians which went into effect June 3, 2024. CMS notes in the document that the policies in the Q&A document supersede the MLN issued on March 26, 2024, with regards to any possible inconsistencies.
Read MoreState: All
CMS Updates the State Operations Manual Appendix M – New L Tags
Date Posted : 05/28/2024
Program: Hospice
On May 28, 2024, CMS issues memo QSO-24-12 Hospice & FQHC/RHC. In this memo, CMS provided updates to the State Operations Manual Appendix M. This update issues the L tags related to Marriage and Family Therapists and Mental Health Counselors. This update was effective immediately.
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Accreditation Commission for Health Care, Inc.