The Centers for Medicare & Medicaid Services (CMS) has once again extended for six months its “temporary” moratoria on the Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) enrollment of new nonemergency ground ambulance suppliers and home health agencies (HHAs) in selected states, effective July 29, 2017. The moratoria on new HHA enrollment (including new subunits and branch locations) applies to Florida, Illinois, Michigan, and Texas, while the moratoria on enrollment of non-emergency ground ambulance providers and suppliers applies to New Jersey, Pennsylvania, and Texas. According to CMS, the “circumstances warranting the imposition of the moratoria have not yet abated,” and the moratoria are still needed as it monitors indicators and continues taking administrative actions (e.g., payment suspensions and revocations of provider/supplier numbers). Since CMS imposed the moratoria on July 31, 2013, the agency has denied enrollment to 1184 HHAs and 23 ambulance companies in the affected geographic areas.
Home Regulatory Developments Centers for Medicare & Medicaid Services Regulations CMS Again Extends HHA/Ambulance Enrollment Moratoria in Selected States to “Prevent and Combat Fraud, Waste, and Abuse”