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COVID-19

The Centers for Medicare & Medicaid Services (CMS) is committed to protecting American patients and residents by ensuring health care facilities have up-to-date information to adequately respond to Coronavirus (COVID-19) concerns. Please share the following COVID-19 related resources with your appropriate staff.

Section 1135 and Section 1812(f) Waivers

The Secretary of the Department of Health & Human Services declared a public health emergency (PHE) in the entire United States on January 31, 2020. On March 13, 2020 Secretary Azar authorized waivers and modifications under Section 1135 of the Social Security Act (the Act), retroactive to March 1, 2020. As a result of this PHE, providers should apply condition code "DR" (disaster related) for institutional billing (Form CMS-1450, UB-04) and "CR" (catastrophe/disaster related) modifier for Part B billing (Form CMS-1500). Refer to the MLN Matters Special Edition article, SE20011 – Medicare Fee-for-Service (FFS) Response to the Public Health Emergency on the Coronavirus (COVID-19)External PDF for additional information.

Accelerated/Advance Payment

CMS has expanded the current Accelerated and Advance Payment Program during the COVID-19 public health emergency to extend financial hardship relief to impacted Medicare Part A Providers, and Part B Providers/Suppliers.

Providers/suppliers experiencing cash flow problems shall submit the COVID-19 Accelerated/Advance Payment FormPDF, signed by the provider's/supplier's authorization official that is legally able to make financial obligations on behalf of the providers/supplier (digital – signature and a facsimile (fax) request is acceptable). Instructions can be found on the form. Providers/suppliers that are part of a group practice may attach a list of PTANs/NPIs to the form.

The request may be submitted to CGS via email CGS.ERS.CORR@cgsadmin.com, fax 1.615.664.5949, or mail to:

CGS Administrators, LLC
ATTN: CFO Accelerated Payments
PO Box 20018
Nashville, TN 37202

COVID-19 Provider Enrollment and Accelerated Payment Telephone Hotline: The telephone hotline 1.855.769.9920 has been created for providers and suppliers to initiate provisional temporary Medicare billing privileges and address questions regarding provider enrollment flexibilities and accelerated payments, afforded by the COVID-19 waiver. The hotline is available Monday–Friday 7:00 am–4:00 p.m Central Time (CT).

All Providers

Cost Report (Part A, Home Health and Hospice)

CMS is currently authorizing delay for the following fiscal year end dates. CMS will delay the filing deadline of FYE 10/31/2019 cost reports due by March 31, 2020 and FYE 11/30/2019 cost reports due by April 30, 2020. The extended cost report due dates for these October and November FYEs will be June 30, 2020. CMS will also delay the filing deadline of the FYE 12/31/2019 cost reports due by May 31, 2020. The extended cost report due date for FYE 12/31/2019 will be July 31, 2020 (42 CFR § 413.24 (f) (2) (ii) allows this flexibility). In addition, this is a blanket extension and providers do not need to request for extensions.

Pause for Request for Cost Reports Worksheet S-10 Audit Documentation, Medicare Desk Reviews, Audits and Reopenings Documentation. (Part A and Home Health and Hospice)
Due to the current Novel Coronavirus (COVID-19) Public Health Emergency (PHE), the Centers for Medicare & Medicaid (CMS) has provided instructions for CGS to suspend requests for documentation for the following Medicare Cost Report activities:

  • Cost Reports Worksheet S-10 (W/S S-10) audits for all cost reports that begin during Federal Fiscal Year (FY) 2018 for hospitals that qualify for Disproportionate Share Hospital (DSH) payment until May 15, 2020. If you have already received a request for documentation, the due date has been extended to May 15, 2020.
  • All Medicare Desk Reviews, Audits and Reopenings until May 15, 2020. CGS shall work on any in-house Desk Reviews, Audits and Reopenings based on the documentation that they have already received. If additional information is needed to complete the reviews, a request for such information will not be sent before May 16, 2020.

End Stage Renal Disease (ESRD) Facilities

Frequently Asked Questions (FAQs)

Home Health Providers

Hospice Providers

Laboratories

Provider Enrollment

Provider Enrollment Telephone Hotline: The telephone hotline 1.855.769.9920 (Monday–Friday, 7:00 am–4:00 pm Central Time (CT)) has been created for physicians and non-physician practitioners to initiate provisional temporary Medicare billing privileges via telephone and address questions regarding provider enrollment flexibilities afforded by the COVID-19 waiver.

CMS has provided instructions for CGS to process abbreviated information over the telephone, collecting minimal information to establish a Provider Enrollment Chain and Ownership System (PECOS) enrollment record. CMS is waiving the following screening requirements:

  • Criminal background checks associated with the FCBC – 42 C.F.R. 424.518
  • Site-visits – 42 C.F.R. 424.518
  • In state licensure requirements – as long as the provider is licensed to render equivalent services in another state and are not affirmatively excluded from practice in that state or in any other state (based on the MAC verified state licensing board and/or the Office of Inspector General (OIG)), they can be enrolled for reimbursement in subsequent states.

Refer to the Part B Provider Enrollment web page for additional information.

In addition, this is available for Part A certified provider and suppliers who are establishing isolation facilities for COVID-19 positive patients and want to enroll and bill for their services. Refer to the Part A Provider Enrollment web page for additional information.

Skilled Nursing Facility (SNF)

Telehealth

Refer to the List of Telehealth Services for the Covered Telehealth Services for PHE and the COVID-19 pandemic, effective March 1, 2020.  An updated Telehealth Services MLN BookletExternal PDF is available on the CMS website. Also available is the General Provider Telehealth and Telemedicine Tool KitExternal PDF.

Video
CMS has the Medicare Coverage and Payment of Virtual ServicesExternal Website video available that can provide you with answers to common questions about the Medicare telehealth services benefit.

MLN Connects Special Editions

Subscribe to the weekly email newsletter External Websitefor health care professionals.

Press Releases

Access all news from the CMS NewsroomExternal Website.

COVID-19 Webinars/Teleconferences

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