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Pre-Claim Review Has Been Delayed in Florida and Paused in Illinois

Posted on Monday, April 3, 2017 12:23 PM

One day before the Pre-Claim Review Demonstration (PCRD) was set to rollout, the Centers for Medicare & Medicaid Services (CMS) announced that the PCRD has now been paused in Illinois and delayed in Florida.

On Friday, March 31, the demonstration was announced to be on hold for a minimum of 30 days in Illinois, beginning April 1, 2017. In addition, the program will not expand to Florida as scheduled on April 1.

Ironically, this announcement was also made on the same exact day that CMS released a proposal for a six-month delay to the effective date of the new home health Conditions of Participation (CoPs).

An update will be released for all providers through CMS’s website at least 30 days in advance.

With the constant concern for the program to expand, there have been several delays along the way. The program has been underway in Illinois since August 2016 and was supposed to roll out to four additional states – Florida, Texas, Massachusetts and Michigan.

Corridor will continue to send out additional information as it’s released.

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