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CMS to Roll Out Fingerprint Checks for Home Health

Leslie J. Levinson
Edwards Wildman Palmer LLP - New York Office

Michaela ("Kayla") Tabela
Edwards Wildman Palmer LLP - Boston Office

May 8, 2014

Previously published on May 2014

CMS recently announced that it will begin fingerprint-based background checks for any individual with a five percent or greater ownership interest in a provider or supplier that falls under the “high” risk category. The high level risk category includes newly enrolling home health agencies, newly enrolling durable medical equipment, prosthetics, orthotics, and supplies (“DMEPOS”) suppliers, and any other provider or supplier that CMS elevates to this category.

Applicable providers will receive notification of the fingerprint requirements from their Medicare Administrative Contractor (“MAC”). This notification will include a list of the individuals who are required to be fingerprinted. Once notified, the individuals will have 30 days to comply.

Fingerprint-based background checks are part of the Affordable Care Act’s enhanced enrollment screening provisions, set forth at 42 C.F.R. §424.518.


The views expressed in this document are solely the views of the author and not Martindale-Hubbell. This document is intended for informational purposes only and is not legal advice or a substitute for consultation with a licensed legal professional in a particular case or circumstance.

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