CMS Using Regional Enrollment Moratoriums to Cut Down on Fraud

Health Data Management: JULY 29, 2013

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. Read more