Brodsky, Kareny -- NJ

Document ID: CMS-2010-0239-0002
Document Type: Public Submission
Agency: Centers For Medicare & Medicaid Services
Received Date: September 29 2010, at 12:00 AM Eastern Daylight Time
Date Posted: December 8 2010, at 12:00 AM Eastern Standard Time
Comment Start Date: September 23 2010, at 12:00 AM Eastern Standard Time
Comment Due Date: November 16 2010, at 11:59 PM Eastern Standard Time
Tracking Number: 80b63c0e
View Document:

This is comment on Proposed Rule

Medicare, Medicaid, and Childrens Health Insurance Programs: Additional Screening Requirements, etc., for Providers and Suppliers

View Comment

The proposal in §455.410 that any physician or other professional ordering or referring services for Medicaid beneficiaries must be enrolled as a participating provider by the State in the Medicaid program including both fee for service & MCE network-level providers does not distinguish between those providers who are participating vs. non-participating with the managed care plan. Will this requirement also apply to non-participating providers who may provide services on occasion to members of the managed care plans?