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Centers for Medicaid Services Delays Affiliation Disclosure Requirements

New Medicare Provider Affiliation Reporting Requirements Delayed | Baker Ober Health Law

To embed, copy and paste the code into your website or blog: In a March 24, 2021 CMS MLN Matters Special Edition Article, SE21003, CMS announced that [i]n light of the pandemic and various other factors, we will not begin updating the Form CMS-855 applications with affiliation disclosure sections for at least another 12 months. The Program Integrity Enhancements to the Provider Enrollment Process Rule (Medicare Provider Affiliation Rule) was finalized on September 10, 2019, requiring, inter alia, providers and suppliers initially enrolling or revalidating to disclose all affiliations that it or any of its owning or managing employees or organizations have had within the previous five years with a currently or formerly enrolled Medicare, Medicaid, or CHIP provider or supplier that has a disclosable event. The terms affiliation and disclosable event are defined in 42 C.F.R. § 424.502.

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