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

OMB 0938-1376

OMB 0938-1376

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 can be found here.


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