Dynamic List Information
Dynamic List Data
Title
REVISED: Transitioning Certification Functions for Changes of Ownership, Administrative Changes, and Initial Enrollment Performed by the SOG Locations
Memo #
Admin Info: 24-22-ALL
Posting Date
2024-08-23
Fiscal Year
2024
Summary
Memorandum Summary
• The Centers for Medicare & Medicaid Services (CMS) has been transitioning certain certification enrollment functions performed by the CMS SOG Locations (formerly CMS Regional Offices) to CMS's Center for Program Integrity (CPI) and its Provider Enrollment Oversight Group (PEOG) and to the Medicare Administrative Contractors (MACs).
• CMS streamlined certain certification work, such as voluntary termination (July 27, 2020), Federally Qualified Health Centers (FQHCs) enrollment (March 22, 2021), and changes of ownership, administrative changes, and initial certification work for Skilled Nursing Facilities (SNFs) (January 3, 2022).
• CMS has also streamlined changes of ownership, administrative changes, and initial certification work for Ambulatory Surgical Centers (ASCs), Community Mental Health Centers (CMHCs), Comprehensive Outpatient Rehabilitation Facilities (CORFs), FQHCs, Home Health Agencies (HHA), Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP), and Portable X-Ray (PXR) Providers (May 30, 2022).
• The State Operations Manual (SOM) and Program Integrity Manual (PIM) will be updated to reflect these changes later. The attached standard operating procedure (SOP) related to changes of ownership (CHOWs), administrative changes, and initial certification enrollment work for the providers and suppliers listed above and the remaining providers/suppliers transitioning, which are:
• Hospitals (including Psychiatric Hospitals and Transplant Programs)
• Hospices
• End Stage Renal Disease (ESRD) Facilities
• CMS is clarifying that the CMS Location continues to be responsible for the survey and certification of all federally designated IHS facilities. Tribal 638-contract facilities retain the ability to go through the state agency or CMS Location for their survey and certification.
• CMS is clarifying initial certification processes for providers/suppliers seeking deemed status via a CMS-approved Accrediting Organization (AO).
• The Centers for Medicare & Medicaid Services (CMS) has been transitioning certain certification enrollment functions performed by the CMS SOG Locations (formerly CMS Regional Offices) to CMS's Center for Program Integrity (CPI) and its Provider Enrollment Oversight Group (PEOG) and to the Medicare Administrative Contractors (MACs).
• CMS streamlined certain certification work, such as voluntary termination (July 27, 2020), Federally Qualified Health Centers (FQHCs) enrollment (March 22, 2021), and changes of ownership, administrative changes, and initial certification work for Skilled Nursing Facilities (SNFs) (January 3, 2022).
• CMS has also streamlined changes of ownership, administrative changes, and initial certification work for Ambulatory Surgical Centers (ASCs), Community Mental Health Centers (CMHCs), Comprehensive Outpatient Rehabilitation Facilities (CORFs), FQHCs, Home Health Agencies (HHA), Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP), and Portable X-Ray (PXR) Providers (May 30, 2022).
• The State Operations Manual (SOM) and Program Integrity Manual (PIM) will be updated to reflect these changes later. The attached standard operating procedure (SOP) related to changes of ownership (CHOWs), administrative changes, and initial certification enrollment work for the providers and suppliers listed above and the remaining providers/suppliers transitioning, which are:
• Hospitals (including Psychiatric Hospitals and Transplant Programs)
• Hospices
• End Stage Renal Disease (ESRD) Facilities
• CMS is clarifying that the CMS Location continues to be responsible for the survey and certification of all federally designated IHS facilities. Tribal 638-contract facilities retain the ability to go through the state agency or CMS Location for their survey and certification.
• CMS is clarifying initial certification processes for providers/suppliers seeking deemed status via a CMS-approved Accrediting Organization (AO).