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Medicare Updates The Provider Relief FAQs - New Effective Date

Even though the public health emergency continues, CMS has given direction to resume accreditation and reaccreditation requirements. The updated FAQ was just released on Monday, July 28th showing an effective date of July 6th. The link to the full FAQ is included.

Medicare Provider Enrollment Relief Frequently Asked Questions (FAQs)Updated July 2020: 

  • NEW FAQ Related to DMEPOS:

20. Will the Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) accreditation and reaccreditation requirements be waived?

ANSWER: Effective July 6, 2020, CMS is resuming all accreditation and reaccreditation activities for DMEPOS suppliers, to include surveys. Surveys may be conducted onsite, virtually or a combination of both depending on the state’s reopening plan. All survey activities will be conducted in accordance with the Center for Disease Control (CDC) and local guidelines. New DME suppliers enrolled after 3/1/2020 without the appropriate accreditation shall submit a completed application to the Accrediting Organization (AO) with all required supporting documentation within 30 days of notification from the National Supplier Clearinghouse (NSC), to apply for accreditation. Failure to obtain accreditation, will result in the deactivation of your Medicare billing privileges. Similarly, DME suppliers who originally received an extension of their expiring supplier accreditation due to the Public Health Emergency will be contacted by the NSC to begin the reaccreditation process.

21. Are there any flexibilities related to the DMEPOS supplier standards?

ANSWER: The following DMEPOS supplier standards are being waived for newly enrolling DMEPOS suppliers:

· Supplier standard #9 - Business Phone, maintains a primary business telephone that is operating at the appropriate site listed under the name of the business locally or toll-free for beneficiaries.

· Supplier standard #30 - Minimum hours of operation, except as specified in paragraph (c)(30)(ii) of this section, is open to the public a minimum of 30 hours per week.

Effective July 6, 2020, CMS is resuming all DMEPOS provider enrollment site visits and will no longer be waiving supplier standard #7 - Physical access, maintains a physical facility on an appropriate site. The inspector will follow all state and local requirements regarding the use of appropriate personal protective equipment (PPE ) when conducting the site visit (i.e., masks will be worn in public buildings if required by the state).

22. Has CMS resumed provider enrollment site visits?

ANSWER: Effective July 6, 2020, CMS is resuming all provider enrollment site visits in accordance with 42 C.F.R. 424.517 and 424.518, if applicable to the provider or supplier. For those site visits that require the inspector to enter the premises, the inspector will follow all state and local requirements regarding the use of appropriate personal protective equipment (PPE) when conducting the site visit (i.e., masks will be worn in public buildings if required by the state).

Please reach out to Ronda Buhrmester with any questions.

217-493-5440

[email protected]

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