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Policy Clarifications

Current Policy Clarifications

Centers for Medicare and Medicaid Services (CMS) clarification regarding missed appointments
Recently, several providers have requested clarification regarding charging Medicaid recipients for missed appointments. Per clarification from CMS, Medicaid providers are not permitted to bill recipients for missed appointments.

Policy Clarifications

May 2009

Information regarding Excluded Providers
On Jan. 16, 2009, the Centers for Medicare and Medicaid Services issued a letter to state Medicaid directors repeating a long standing policy and clarifying federal statutory and regulatory prohibitions regarding providers from participation in federal health care programs. For more information please review the following letters.

You may also visit the Office of the Inspector General Exclusions Program Web site for the List of Excluded Individuals/Entities.

DMS List of Excluded Providers
Excluded/termed provider list

April 2009

Final employee education guidance for false claims recovery deficit reduction act of 2005, Section 6032
For more information, refer to the DRA 6032 - Employee Education About False Claims Recovery FAQs.


Last Updated 4/6/2017