Senate Finance Committee Members Send Letter on Moratorium
Monday, April 8, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy




On March 28, Orrin Hatch (R-UT), Chuck Grassley (R-IA) and Tom Coburn (R-OK) sent a letter to Health and Human Services (HHS) Secretary Kathleen Sebelius asking her to explain why the department has yet to impose temporary moratoriums on enrolling new Medicare providers and suppliers. This information was originally requested in October 2011 and February 2012.
 
Section 6401 of the Affordable Care Act authorizes the secretary of HHS to impose a temporary moratorium on Medicare enrollment for  A specific provider or supplier types when there is a significant potential waste, fraud and abuse. This authority can also be exercised in a more targeted way by targeting Medicare enrollments within a geographic region where high incidences of fraud have occurred. The moratoriums are to be implemented in six month increments but can be extended.
 
The Senators’ letter asks for additional information including the total enrollment statistics for home health providers in Medicare Fraud Strike Force cities from 2010-2013 and clarification as to why a temporary moratorium has not been established in know fraud areas including home health agency enrollment in Miami-Dade, FL and Harris, TX.
 
VNAA has repeatedly called on the Department of Health and Human Services to utilize the moratorium authority to control waste, fraud and abuse in home health and hospice. To review VNAA’s work on combating waste, fraud and abuse, click here.
 
To read the March 28 letter to Kathleen Sebelius from the Senate Finance Committee members, please click here.
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