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County Administrator's Report 13. 3.

BCC Regular Meeting

Technical/Public Service Consent

Meeting Date:	11/01/2018
Issue: Florida Medicare Provider Revalidation Request for Additional Information
From:	Mike Weaver
Department:	Public Safety
CAO Approval:

RECOMMENDATION:

Recommendation Concerning the Florida Medicare Provider Revalidation Request for Additional Information - Michael D. Weaver, Public Safety Department Director

That the Board take the following action concerning the Health & Human Services, USA, Centers for Medicare & Medicaid Services, Medicare Enrollment Application, CMS-855B:

A. Approve and authorize Michael D. Weaver to sign the Department of Health & Human Services, USA, Centers for Medicare & Medicaid Services, Medicare Enrollment Application, CMS-855B, as authorized official, for revalidation of Escambia County Board of County Commissioners, D/B/A Escambia County EMS (Emergency Medical Services), as a Florida Medicare Provider;

B. Approve and authorize Tamika Williams, Public Safety Business Operations Manager and Shandra Jenkins, EMS Billing Manager as being the Delegated Official and Contact Person which will allow them to speak with Medicare on behalf of Escambia County BCC regarding the account; and

C. Authorize the submittal of the additional supporting documentation as requested by Medicare Provider Enrollment.

BACKGROUND:

The Department of Health & Human Services, Centers for Medicare & Medicare Services is conducting a revalidation project for all currently enrolled Medicare Providers. Medicare requires all enrolled providers to revalidate enrollment, at least, every five years. Revalidation requires the provider to complete the application as if it is a new, non-enrolled provider. Non response to the request for revalidation will result in withholding of Medicare payments for services provided by Escambia County EMS and, subsequently, the deactivation of its Medicare billing privileges.

BUDGETARY IMPACT:

N/A

LEGAL CONSIDERATIONS/SIGN-OFF:

N/A

PERSONNEL:

N/A

POLICY/REQUIREMENT FOR BOARD ACTION:

Board policy requires that agreements be approved by it.

IMPLEMENTATION/COORDINATION:

Tamika Williams, Public Safety Business Operations Manager, will be responsible to ensure that the additional requested documents will be submitted within the established timeframe.

Attachments
Notification Letter
Required Documentation
Supporting Documents
Supporting Documents