CMS Announces Extension of Temporary Moratoria on Enrollment of New Home Health Agencies and Part B Ambulance Suppliers in Six States

In the January 29, 2015 Federal Register, CMS announced a six-month extension of the temporary moratoria on the enrollment of new home health agencies (HHAs), HHA sub-units, and Medicare Part B ambulance suppliers in designated geographic areas in Florida, Illinois, Michigan, Texas, Pennsylvania and New Jersey. The CMS notice indicates that the decision to extend the moratoria was based on CMS’s determination of “a high risk of fraud, waste, or abuse in these provider and supplier types within these geographic locations” which was confirmed by CMS’s data analysis.

During the enrollment moratorium, new provider enrollment and change of information applications adding practice locations in the counties at issue will be denied. The revised MLN Matters Article SE1425 advises providers in these geographic regions not to submit initial enrollment applications or change of information applications adding practice locations until the moratoria has ended.

Pursuant to MLN Matters SE1425, the enrollment moratorium currently includes the following geographic areas:

Home Health Agencies and Sub-units

Fort Lauderdale, FL  

  • Broward

Miami, FL

  • Miami-Dade
  • Monroe

Detroit, MI

  • Macomb
  • Monroe
  • Oakland
  • Washtenaw
  • Wayne

Dallas, TX

  • Collin
  • Dallas
  • Denton
  • Ellis
  • Kaufman
  • Rockwall
  • Tarrant

Houston, TX

  • Brazoria
  • Chambers
  • Fort Bend
  • Galveston
  • Harris
  • Liberty
  • Montgomery
  • Waller

Chicago, IL

  • Cook
  • DuPage
  • Kane
  • Lake
  • McHenry
  • Will

Part B Ambulance Suppliers

Houston, TX

  • Harris
  • Brazoria
  • Chambers
  • Fort Bend
  • Galveston
  • Liberty
  • Montgomery
  • Waller

Philadelphia, PA

  • Bucks (PA)
  • Delaware (PA)
  • Montgomery (PA)
  • Philadelphia (PA)
  • Burlington (NJ)
  • Camden (NJ)
  • Gloucester (NJ)

The enrollment moratoria was originally announced on July 31, 2013 for new home health agencies in Miami-Dade County, Florida and Cook County, Illinois and surrounding counties, as well as ground ambulance suppliers in Harris County, Texas and surrounding counties. The moratorium was extended in February 2014 to include home health agencies in Broward County, Florida, Dallas County, Texas, Harris County, Texas, and Wayne County, Michigan and surrounding counties. The extension also included ground ambulance suppliers in Philadelphia, Pennsylvania and surrounding counties. The moratoria was then extended in all locations by way of notice published in the August 4, 2014 Federal Register.

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