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CMS imposes first Affordable Care Act enrollment moratoria to combat fraud – The Centers for Medicare & Medicaid Services’ (CMS) announced temporary suspensions on the enrollment of new home health provider and ambulance supplier enrollments in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) in the Miami, Chicago, and Houston metropolitan areas. Under the suspension, existing providers and suppliers can continue to deliver and bill for services, but no new provider and supplier applications will be approved in these areas for all three programs. The temporary suspension will last six-months.  The Affordable Care Act allows CMS to expand efforts to prevent and fight fraud, waste and abuse.  During the suspension, CMS will monitor the impact, including the risk of fraud schemes moving to different services or geographic areas. CMS may lift the suspension earlier or extend it another six months. The goal of the temporary suspension is to fight fraud and protect taxpayer dollars, while ensuring patient access to care. Learn more here


CMS imposes first Affordable Care Act enrollment moratoria to combat fraud – The Centers for Medicare & Medicaid Services’ (CMS) announced temporary suspensions on the enrollment of new home health provider and ambulance supplier enrollments in Medicare, Medicaid and the Children’s Health Insurance Program (CHIP) in the Miami, Chicago, and Houston metropolitan areas. Under the suspension, existing providers and suppliers can continue to deliver and bill for services, but no new provider and supplier applications will be approved in these areas for all three programs. The temporary suspension will last six-months.  The Affordable Care Act allows CMS to expand efforts to prevent and fight fraud, waste and abuse.  During the suspension, CMS will monitor the impact, including the risk of fraud schemes moving to different services or geographic areas. CMS may lift the suspension earlier or extend it another six months. The goal of the temporary suspension is to fight fraud and protect taxpayer dollars, while ensuring patient access to care. Learn more here.

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