Today, the Centers for Medicare and Medicaid Services (CMS) announced it is extending the temporary moratoria on the enrollment of new ground ambulance suppliers in the Philadelphia and Houston regions. Both enrollment suspensions are being extended for another six (6) months, effective January 29, 2015.
The enrollment moratorium in Houston has been in place for a year and a half, and the ban in Philadelphia has been in place for a year. Both enrollment freezes will now extend into the summer of 2015, unless CMS decides to lift them. They apply to newly enrolling ground ambulance suppliers in these regions. The enrollment freezes do not affect enrollment-related changes that current suppliers need to make regarding practice locations, addresses and ownership, and they do not affect revalidations.
The Affordable Care Act (ACA) gave CMS the authority to impose a temporary moratorium on the enrollment of new Medicare, Medicaid or CHIP providers and suppliers if CMS determines a moratorium is necessary to combat fraud, waste or abuse. Each time CMS has exercised this authority, it has targeted ground ambulance suppliers.
Starting September 1, 2013, all newly enrolling or re-enrolling ambulance providers must obtain a surety bond in the amount of $50,000 for each enrolled location. Newly licensed providers seeking to obtain credentials under Texas Medicaid and those who must re-enroll or choose to re-enroll now must obtain this bond when submitting their application. Those providers who do not need to enroll today may wait to obtain this bond until re-enrollment is required.
This new requirement does not apply to ambulance providers that are directly operated by a governmental entity.
If your organization is in need of this bond, we can help with the application process. Please contact us at 800-252-9435 or email email@example.com.
To read the full press release from the Texas Medicaid and Healthcare Partnership along with their contact info, download the .PDF below.
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