Moratoria on Enrollment of Home Health Agencies Expanded Statewide and Extended

On July 29, 2016, the Centers for Medicare & Medicaid Services (“CMS”) announced that it is expanding statewide (and extending for an additional six (6) months), the temporary enrollment moratoria on new Medicare Part B home health agencies (“HHAs”) in Florida, Texas, Illinois, and Michigan.  The statewide expansion also applies to Medicaid and Children’s Health Insurance Program (“CHIP”).

The expansion and extension also apply to non-emergency ground ambulance suppliers in New Jersey, Pennsylvania, and Texas.  CMS is also lifting the temporary moratoria on all Medicare Part B, Medicaid, and CHIP emergency ground ambulance suppliers.  These changes are effective as of July 29, 2016.

CMS also announced the Provider Enrollment Moratoria Access Waiver Demonstration (“PEWD”).  Under PEWD, CMS can allow exceptions to enroll providers and suppliers in the moratoria areas if access to care issues are identified and for the development and improvement of methods of investigating and prosecuting fraud in Medicare, Medicaid, and CHIP.

The attorneys at The Health Law Partners have a significant amount of experience counseling home health agencies, ambulance suppliers and other medical providers/suppliers throughout the United States on moratoria, enrollment, and transactional issues (including CHOW’s and CHOI’s).  For more information, please contact Adrienne Dresevic, Esq., at adresevic@thehlp.com, or Clinton Mikel, Esq., at cmikel@thehlp.com, or at (248) 996-8510.