Examples of Preclusion List in a sentence
IEHP does notcontract with prospective Hospitals and entities for the IEHP Medicare line of business if the Provider is on the CMS Preclusion List or has opted-out of the Medicare Program.
A monthly review of the Department of Health Care Services Medi-Cal Suspended and Ineligible list and Centers for Medicare and Medicaid Services Preclusion List.
A Grievance is a complaint by a Teacher or by the Association in its behalf, concerning any alleged violation, misinterpretation or misapplication of this Agreement or any disciplinary action administered to a Teacher.
CMS Preclusion List Ancillary ProvidersYou must send Clover a completed Facility/Ancillary Provider Credentialing Application that is signed and dated (application is valid for 180 days).
Thus, a plan may provide a beneficiary with more than 60 days’ notice, and if a plan does so, the plan should not deny payments/reject claims earlier than 90 days after publication of the associated Preclusion List.
Have been convicted of a felony under federal or state law within the previous ten years that CMS determines is detrimental to the best interests of the Medicare program.[13]Of note, the second criteria listed above allows for a provider not currently enrolled in Medicare to be placed on the CMS Preclusion List.
On April 1, 2019, the Center for Medicare and Medicaid Services (“CMS”) announced a new exclusion sanction: the CMS Preclusion List.
A monthly review of the Department of Health Care Services Medi-Cal Suspended and Ineligible list and the Centers for Medicare and Medicaid Services Preclusion List.
All prescribers who write prescriptions for PACE Participants will be checked against the OIG List of Excluded Individuals/Entities, the GSA Excluded Parties Listing System, the CMS Preclusion List, and/or any state exclusion lists maintained by state Medicaid programs on an annual basis.
The rate of suicide in the CDCR was 18.6 suicides per 100,000 inmates in 2015 and 17.0 per 100,000 in 2014.