Notification of MACs and CMS of Co-Located Medicare Providers

OMB 0938-0897

OMB 0938-0897

Many long-term care hospitals (LTCHs) are co-located with other Medicare providers (acute care hospitals, inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), inpatient psychiatric facilities (IPFs)), which could lead to potential gaming of the Medicare system based on inappropriate patient shifting. In regulations at 42 CFR 412.22(e)(3) and (h)(6) CMS requires LTCHs to notify Medicare Administrative Contractors (MACs) and CMS of co-located providers.

The latest form for Notification of MACs and CMS of Co-Located Medicare Providers expires 2023-07-31 and can be found here.


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