Provider-Based Attestations
Provider Based
Effective October 1, 2002, the mandatory requirement for provider-based determinations under §413.65(b) has been replaced with a voluntary attestation process. The Fiscal Intermediary (FI)/Medicare Administrative Contractor (MAC) is responsible for ensuring all information is submitted to make a sound recommendation to CMS. Providers are no longer required to apply for and receive a provider-based determination for their facilities prior to billing for services in those facilitates as provider-based.
However, under §413.65(b)(3), a provider may choose to obtain a determination of provider-based status in certain situations by submitting an attestation stating that the facility meets the relevant provider-based requirements (depending on whether the facility is located on campus or off campus). Providers who wish to obtain such a determination of provider-based status for their facilities after October 1, 2002 should do so through the self-attestation process.
In order to facilitate the review process and avoid any unnecessary submissions, please read through the below frequently asked questions before submitting an attestation to WPS.
Page Last Updated: Thursday, 18-Mar-2010 05:48:33 CDT
