CMS extends, expands fraud-fighting enrollment moratoria efforts in six states

Today, the Centers for Medicare & Medicaid Services (CMS) announced an extension and statewide expansion of fraud-fighting temporary provider enrollment moratoria efforts in six states, along with a new related demonstration project to allow for certain exceptions to the moratoria and heightened screening requirements for new providers.  CMS also announced it is immediately lifting the current temporary moratoria on all Medicare Part B, Medicaid, and Children’s Health Insurance Program (CHIP) emergency ground ambulance suppliers. 

“CMS is continuing its efforts to tackle fraud, waste, abuse and protect benefits and services for those eligible for federal health care programs through expanding the existing temporary moratoria,” said Shantanu Agrawal, M.D., deputy administrator for program integrity, CMS. “CMS is also increasing its oversight efforts through the use of heightened screening and investigative tools for new providers in the moratoria areas.”

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Centers for Medicare & Medicaid Services, CMS, Government Perspectives, PEWD, Provider Enrollment Moratoria Access Waiver Demonstration

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