Dynamic List Information
Dynamic List Data
Title
Extension and Expansion of the Provider Enrollment Home Health Agency (HHA) Moratoria
Memo #
16-36-HHA
Posting Date
2016-08-26
Fiscal Year
2016
Title
• Effective July 29, 2016: The Centers for Medicare & Medicaid Services (CMS) extended the previous HHA moratoria to encompass the entire states of Illinois (IL), Florida (FL), Michigan (MI) and Texas (TX) for a period of six months.
• Effective July 29, 2016: No initial HHA Medicare surveys may be conducted in the above States and all activities on initial certification actions in progress at the State Survey Agency (SA) or Regional Office (RO) as of that date must cease. Any prospective HHA provider that had an initial application still in progress on July 29, 2016 and received an enrollment denial notification from the Medicare Administrative Contractor (MAC) must reapply as a new applicant once the moratorium is lifted.
• In conjunction with the extension of the moratoria, CMS will initiate a Provider Enrollment Moratoria Access Waiver Demonstration (PEWD) for HHAs in moratoria-designated geographic locations. These waivers will be evaluated by the Center for Program Integrity (CPI). Any waivers issued by CPI will be made on a case by case basis in response to access of care concerns. If a waiver is issued, CPI will notify the applicable SA and RO to confirm that a survey may be conducted within the moratorium area pursuant to the waiver.
• SAs and ROs should refer all questions regarding the moratoria to the applicable MAC.
• Effective July 29, 2016: No initial HHA Medicare surveys may be conducted in the above States and all activities on initial certification actions in progress at the State Survey Agency (SA) or Regional Office (RO) as of that date must cease. Any prospective HHA provider that had an initial application still in progress on July 29, 2016 and received an enrollment denial notification from the Medicare Administrative Contractor (MAC) must reapply as a new applicant once the moratorium is lifted.
• In conjunction with the extension of the moratoria, CMS will initiate a Provider Enrollment Moratoria Access Waiver Demonstration (PEWD) for HHAs in moratoria-designated geographic locations. These waivers will be evaluated by the Center for Program Integrity (CPI). Any waivers issued by CPI will be made on a case by case basis in response to access of care concerns. If a waiver is issued, CPI will notify the applicable SA and RO to confirm that a survey may be conducted within the moratorium area pursuant to the waiver.
• SAs and ROs should refer all questions regarding the moratoria to the applicable MAC.