Continuation of Payments to Indian Health Service (IHS) Providers, Suppliers, Physicians, and other Practitioners for Certain Part B Services
Section 630 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) allowed IHS facilities to bill for other Part B services, which were not previously covered under Section 1848 of the Act, and expanded the scope of items and services for which payment would be made to IHS providers, suppliers, physicians, and other practitioners for a 5-year period beginning January 1, 2005. Section 630 expired on December 31, 2009. On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act. Section 2902 of the new law permanently extends Section 630 of the MMA, retroactive to January 1, 2010. The specific Part B services involved are: * Ambulance services; * Clinical laboratory services; * Part B drugs processed by the J4 A/B Medicare Administrative Contractor (MAC) and the Durable Medical Equipment MACs; * Influenza and pneumonia vaccinations; * Durable medical equipment; * Therapeutic shoes; * Prosthetics and orthotics; * Surgical dressings, splints and casts; and * Screening and preventive services not covered prior to the implementation of Section 630 of the MMA. Indian Health Service providers, suppliers, physicians and other practitioners should contact their Medicare Administrative Contractor for further guidance regarding IHS claims affected by the new law, for dates of service January 1, 2010, and after, that have been denied. Note: It will take approximately two weeks from the date that you receive this message for contractors to update their systems to be able to pay correctly for these services. You may want to wait until the claims processing system is updated before submitting any new claims containing IHS services. Please be on the alert for more information pertaining to the Patient Protection and Affordable Care Act. ________________________________________________________________________ _____________________ If you received this message as part of the All FFS Providers listserv, you are currently subscribed to one of eighteen Medicare Fee-For-Service (FFS) provider listservs. If you would like to be removed from all NIH listservs, please go to (https://list.nih.gov/LISTSERV_WEB/signoff.htm <https://list.nih.gov/LISTSERV_WEB/signoff.htm> ) to unsubscribe. If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/show_list_archives <https://list.nih.gov/cgi-bin/show_list_archives> ) to unsubscribe or to leave the appropriate listserv. If you know someone who would like to subscribe to a FFS provider listserv, go to (http://www.cms.hhs.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Lis tservs.pdf) . Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.hhs.gov/ContactCMS <http://www.cms.hhs.gov/ContactCMS> ). Thank you.
