State & FederalMedicare AdvantageNovember 30, 2018

CMS Medicare Preclusion List effective April 1, 2019

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

The U.S. Centers for Medicare and Medicaid Services (CMS) and Medicare Advantage and Part D organizations, including Empire, will implement a new initiative, the Preclusion List, to protect the integrity of the Medicare Trust Funds. Beginning April 1, 2019, Medicare Advantage and Part D organizations will deny payment for items and services furnished by providers that CMS has placed on the Preclusion List. For more information, visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/PreclusionList.html.
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