Temporary Extraordinary Circumstances Exception for Excepted Provider-Based Departments (CMS-10730)

If hospitals want to continue to bill under the outpatient prospective payment system (OPPS) (vs. the PFS), hospitals that relocate excepted on- or off-campus provider based departments (PBDs) to off-campus locations in response to the COVID-19 public health emergency (PHE) will be required to contact their CMS Regional Office by email to request a temporary extraordinary circumstances exception. CMS will collect the necessary information from all hospitals that request temporary extraordinary circumstances exceptions for one or more on-campus or excepted off-campus provider-based departments during the COVID-19 PHE. CMS will use this information to review the hospitals’ justification for the relocation and the role of the relocation in the hospital’s response to COVID-19 to ensure efficient and legal use of Medicare program funds.

The latest form for Temporary Extraordinary Circumstances Exception for Excepted Provider-Based Departments (CMS-10730) expires 2020-11-30 and is listed under ICR 202005-0938-004.