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:: NAHC Report
 
  NAHC Report: Issue# 2857, 3/4/2016
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ARTICLE ARCHIVES MEMBER RESOURCES eNEWSLETTERS CARING STORE
CMS Proposes Changes to Provider and Supplier Enrollment Rules
Legislation Requiring Information Sharing to Identify Providers Terminated from Medicaid Passed by House
For Your Information: NAHC Announces the March on Washington Conference
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CMS Proposes Changes to Provider and Supplier Enrollment Rules

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed rule that would implement additional provider enrollment regulations aimed at providers and suppliers that attempt to circumvent Medicare’s enrollment requirements through name and identity changes as well as through elaborate, inter-provider relationships.  

Major Provisions

Disclosure of Affiliations: CMS would require health care providers and suppliers to report affiliations with entities and individuals that: (1) currently have uncollected debt to Medicare, Medicaid, or CHIP; (2) have been or are subject to a payment suspension under a federal health care program or subject to an Office of Inspector General (OIG) exclusion; or (3) have had their Medicare, Medicaid, or CHIP enrollment denied or revoked.  CMS could deny or revoke the provider’s or supplier’s Medicare, Medicaid, or CHIP enrollment if CMS determines that the affiliation poses an undue risk of fraud, waste, or abuse.

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Legislation Requiring Information Sharing to Identify Providers Terminated from Medicaid Passed by House
Bill would require states to terminate providers that have been terminated in other states

On Tuesday, March 2, the U.S. House of Representatives unanimously passed by a vote of 406-0 H.R. 3716, the Ensuring Access to Quality Medicaid Providers Act, to require and make it easier for states to identify and terminate health care providers that have been terminated by Medicare or another state Medicaid program or Children’s Health Insurance Program (CHIP) for reasons of fraud, integrity, or quality. The bill requires state Medicaid programs to identify and submit to the Secretary of Health and Human Services (HHS) the name, type and specialty of providers terminated from Medicare, Medicaid or CHIP.

The legislation was introduced by House member Dr. Larry Bucshon (R-IN-8) who said the measure addresses issues raised by a recent report from the HHS Office of the Inspector General that found occurrences of health care providers terminated from Medicaid in one state still participating in other state Medicaid and CHIP programs. Cosponsors of the bipartisan legislation include Congressman Peter Welch (D-VT-At Large) and Congressman G.K. Butterfield (D-NC-1).

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NAHC Announces the March on Washington Conference
Mayflower Renaissance Hotel, April 3–5, 2016

NAHC is hosting the 2016 March on Washington Conference in the splendid city of Washington, DC. Now is a critical point as we face new rules that could challenge our mission to serve America’s aged, disabled, and ill. Join us as we work to make home care and hospice the center of health care in our country.

The nation’s capital is the heart of legislative activity that affects home care and hospice. That makes it the perfect place to raise awareness of the vital work we do. Together, we can deliver a unified message to those who make the policies that shape our business. Take advantage of this chance to lobby your lawmakers, connect with colleagues, and attend educational sessions led by experts in our field.

Register and Book Your Hotel!

View the Conference Program!

 

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