Review of Medicaid Payments to Excluded or Terminated Durable Medical Equipment Suppliers in Florida

摘要

CMS established the National Supplier Clearinghouse (Clearinghouse), which is responsible for enrolling suppliers in Medicare, issuing all Durable Medical Equipment (DME) supplier numbers nationwide, and ensuring that suppliers comply with federally mandated supplier standards. The Clearinghouse can revoke a supplier number for failure to comply with these federally mandated supplier standards. A supplier with a revoked supplier number is automatically considered terminated from the Medicare program, and Florida law prohibits Medicaid payments to suppliers terminated from the Medicare program. The objective was to determine whether the State agency made payments to DME suppliers that had been excluded or terminated from the Medicare or Medicaid programs for calendar year 2009.