MLN7867599 - Period of Enhanced Oversight for New Hospices in Arizona, California, Nevada, & Texas
This new Product comprises Subregulatory Guidance for newly enrolling hospices located in Arizona, California, Nevada, and Texas, and its content is based on publically available content within at https://www.ssa.gov/OP_Home/ssact/title18/1833.htm, https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-424/subpart-P/section-424.535 and https://www.ssa.gov/OP_Home/ssact/title18/1866A.html. CMS policy or operation subject matter experts also reviewed/cleared this product. This product explains the goal of this initiative, how providers can determine if they're affected and how they'll be notified, along with the timeframe of the enhanced oversight. Over the last 12 months, hospice fraud, waste, abuse, and Medicare enrollment rates have increased significantly in the impacted states; and the goal of this enhanced oversight is to reduce hospice fraud, waste, and abuse.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 11, 2023
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.