Notice: This CMS-approved document has been submitted - Philips ...
Notice: This CMS-approved document has been submitted - Philips ... Notice: This CMS-approved document has been submitted - Philips ...
CMS-1403-FC based on Federal exclusion or debarment, felony conviction as described in §424.535(a)(3), license suspension or revocation, or the practice location is determined by CMS or its contractor not to be operational. When a revocation is based on a Federal exclusion or debarment, felony conviction, license suspension or revocation, or the practice location is determined by CMS or its contractor not to be operational, the revocation is effective with the date of exclusion or debarment, felony conviction, license suspension or revocation or the date that CMS or its contractor determined that the provider or supplier was no longer operational.” We are also finalizing §424.535(f) (redesignated as §424.535(g)) to state “Revocation becomes effective 30 days after CMS or the CMS contractor mails notice of its determination to the provider or supplier, except if the revocation is based on Federal exclusion or debarment, felony conviction, license suspension or revocations, or if the practice location is determined by CMS or its contractor not to be operational. When a revocation is based on a Federal exclusion or debarment, felony conviction, license suspension or revocation, or the practice location is determined by CMS or its contractor not to be operational, the revocation is effective with the date of exclusion or debarment, felony conviction, license 784
CMS-1403-FC suspension or revocation or the date that CMS or its contractor determined that the provider or supplier was no longer operational.” We believe that these changes will ensure that providers and suppliers are afforded due process rights under 42 CFR part 498, but also ensure that Medicare is not making or continuing to make payments to providers and suppliers who are no longer eligible to receive payments. We continue to believe that revocations such as felony convictions and license suspensions or revocations are determinations that do not lend themselves to a corrective action plan and that the revocation should be effective with the date of the felony conviction or the license suspension or revocation action. Moreover, we maintain that when CMS or our contractor determines that a provider or supplier, including a DMEPOS supplier, is no longer operating at the practice location provided to Medicare on a paper or electronic Medicare enrollment application that the revocation should be effective with the date that CMS or our contractor determines that the provider or supplier is no longer operating at the practice location. Further, while we do not believe that revocations based on felony convictions, license suspension or revocations, or a revocation based on a provider or a 785
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<strong>CMS</strong>-1403-FC<br />
suspension or revocation or the date that <strong>CMS</strong> or its<br />
contractor determined that the provider or supplier was no<br />
longer operational.”<br />
We believe that these changes will ensure that<br />
providers and suppliers are afforded due process rights<br />
under 42 CFR part 498, but also ensure that Medicare is not<br />
making or continuing to make payments to providers and<br />
suppliers who are no longer eligible to receive payments.<br />
We continue to believe that revocations such as felony<br />
convictions and license suspensions or revocations are<br />
determinations that do not lend themselves to a corrective<br />
action plan and that the revocation should be effective<br />
with the date of the felony conviction or the license<br />
suspension or revocation action. Moreover, we maintain<br />
that when <strong>CMS</strong> or our contractor determines that a provider<br />
or supplier, including a DMEPOS supplier, is no longer<br />
operating at the practice location provided to Medicare on<br />
a paper or electronic Medicare enrollment application that<br />
the revocation should be effective with the date that <strong>CMS</strong><br />
or our contractor determines that the provider or supplier<br />
is no longer operating at the practice location.<br />
Further, while we do not believe that revocations<br />
based on felony convictions, license suspension or<br />
revocations, or a revocation based on a provider or a<br />
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