CMS held an audio conference briefing on January 11, 2007 on the implementation of Section 6032 of the Deficit Reduction Act of 2005. That provision requires that entities (such as health care providers and certain Medicaid plans) make changes to their compliance policies and employee handbooks to inform their employees, contractors and agents about the state and Federal false claims acts and whistleblower protections. CMS representatives responded to questions from some of the more than 800 callers on compliance with the statute and guidance from CMS in the form of a letter to State Medicaid Directors dated December 13, 2006. The responses are informal advice, and although an indication of CMS’ current thoughts on the subject, are not binding on the agency.
CMS clearly stated its position on several issues:
CMS also acknowledged that questions remained on a number of issues, including:
CMS did indicate its intention to provide further guidance in the form of questions and answers on its website, or in another forum. CMS is also accepting comments by e-mail at firstname.lastname@example.org, although it does not plan to provide individual responses. In the meantime, however, providers will continue to be faced with a number of open questions as they attempt to comply with the statute.
For further information, see the previous e-Alerts, Deadline For DRA Compliance Is January 1, 2007: Are You Ready? and DRA Compliance: CMS Issues December 13, 2006 Guidance.
If you have any questions about this topic or would like additional information, please contact any of the attorneys listed below or the lawyer in the firm who generally handles your legal matters:
Janice A. Anderson
Robert D. Sevell
Judith A. Waltz
Richard L. Prebil
Lawrence W. Vernaglia
J. Mark Waxman
R. Michael Scarano
Cheryl L. Wagonhurst
Let’s Talk Compliance | Provider Relief Fund: Reporting Requirements and Compliance Concerns