According to an AHA "Newsflash," on January 24, the Centers for Medicare and Medicaid Services (CMS) clarified that hospitals can continue to use service vendors to assist them in making Medicaid presumptive eligibility determinations under the Patient Protection and Affordable Care Act.
Many hospitals use outside vendors to help with eligibility assessments and enrollment. CMS's announcement, which was welcomed by AHA, would still hold hospitals accountable for accurate presumptive eligibility determinations.
CMS issued the clarification in a series of FAQs on hospital presumptive eligibility. The FAQ on this issue can be found on page six.
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