CMS Using Regional Enrollment Moratoriums to Cut Down on Fraud

Published
  • July 29 2013, 3:23pm EDT

Hoping to stem fraud and abuse in troublesome regions of the nation, the Centers for Medicare and Medicaid Services is imposing a temporary moratorium on enrollment for certain services covered by Medicare, Medicaid and Children’s Health Insurance Plan in three major metropolitan regions.

The moratorium applies to newly-enrolling home health agencies in the greater Chicago and Miami regions, and newly-enrolling ambulance services in the Houston metropolitan region. The moratoriums, authorized under the Affordable Care Act, cover Miami-Dade and Monroe Counties in Florida, Cook, DuPage, Kane, Lake, McHenry and Will Counties in Illinois, and Brazoria, Chambers, Fort Bend, Galveston, Harris, Liberty, Montgomery and Waller Counties in Texas.

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