CMS's Pre-Claim Review Project for Home Health Agencies Delayed Indefinitely For Florida

Thursday, September 22, 2016
By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

The Centers for Medicare & Medicaid Services (CMS) is implementing a three-year Medicare Pre-Claim Review Demonstration for Home Health Services in the states of Illinois, Florida, and Texas Michigan and Massachusetts.

The CMS Pre-Claim Review Demonstration officially began in Illinois on August 3, 2016, however, early information received from Illinois, has caused a change of plans. CMS now believes that additional education efforts will be beneficial before expansion of the demonstration to other states. Therefore, on September 20, 2016, CMS announced it will not move forward with initiating the demonstration in Florida in October of 2016, as originally planned.


Indefinite Delay.

CMS views these additional educational efforts as crucial to the long-term success of the demonstration for beneficiaries, providers, and the Medicare program. CMS will therefore, take additional time prior to expanding to other states. The start dates for Florida, Texas, Michigan, and Massachusetts have not been announced; however, CMS stated that it will provide at least 30 days’ notice on its website prior to beginning in any state. CMS continues to expect a scattered start, beginning with Florida.

To visit the CMS website to learn more or to stay up to date, click here.


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Source:

"Pre-Claim Review Demonstration for Home Health Services." CMS.gov. (September 20, 2016). Web.


About the Author: George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law.  He is the President and Managing Partner of The Health Law Firm, which has a national practice.  Its main office is in the Orlando, Florida, area.  www.TheHealthLawFirm.com  The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone: (407) 331-6620.


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“The Health Law Firm” is a registered fictitious business name of George F. Indest III, P.A. – The Health Law Firm, a Florida professional service corporation, since 1999.
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9/22/2016

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