CMS Posts Medicare Program Integrity Manual Updates: Changes Affect SNF Enrollment, CHOWs, and Reenrollment Beginning January 2023display copy of updates to the calendar year (CY) Final Rule for the 2023 Medicare Physician Fee Schedule (PFS), other Medicare Part B policies, and Medicare and Medicaid provider enrollment policies. Many of these updates impact skilled nursing providers.
Most notably – effective January 6, 2023 – SNFs that are initially enrolling or undergoing a change in ownership (CHOW) fall within the “high” screening category under 42 CFR § 424.518. SNF revalidations are processed at the “moderate” screening level. These changes include the addition of site visits for all SNF providers and fingerprint-based criminal background checks for 5 percent or greater direct and indirect owners at specific times.
The Federal Register version of the Final Rule will be posted on November 18.
AHCA/NCAL has developed a detailed summary of the changes impacting SNF provider enrollment, revalidation, CHOW, and reenrollment. Note: A member log-in is required to view the summary.
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