Attention Part B Colorado providers: Post-cutover follow-up actions

Wednesday, September 25, 2013 12:28 PM

As part of the Jurisdiction H transition, Novitas Solutions was required to obtain a new (05/10 version) CMS-588 Electronic Funds Transfer (EFT) authorization agreement from providers who were receiving their Medicare payments electronically from each of the outgoing contractors, or in this case, TrailBlazer Health Enterprises, LLC.

A letter requesting submission of a new agreement was sent to all affected providers/suppliers in Colorado, New Mexico, Oklahoma and Texas on July 27, 2012.  Agreements were to be completed and submitted within 30 days of the date of that letter to ensure continuation of electronic payments post-cutover.  As you know, this workload fully transitioned to Novitas on Nov. 19, 2012.  To date, there have been no interruptions or delays in payment for providers who have not responded to the July 27, 2012 letter and subsequent follow-up attempts. Although Novitas has worked to obtain all requested agreements, there are still a significant number outstanding.

In accordance with guidance provided by the Centers for Medicare and Medicaid Services (CMS), the following final actions will occur:

• Payment suspensions were initiated Sept. 13, 2013 to all non-responsive providers who have not submitted claims to Novitas since the cutover. If an agreement is not received within 90 days of the payment suspension, deactivation of Medicare billing privileges will follow.
• Final notification letters were mailed Sept. 18, 2013 to all non-responsive providers who have submitted claims to Novitas since the cutover. If an agreement is not received within 10 days of the date of that letter, payments will be suspended. If an agreement is not received within 90 days of the payment suspension, deactivation of Medicare billing privileges will follow.

If you submitted an agreement and did not receive a confirmation letter indicating your EFT was received and processed, or you have not yet submitted your agreement, Novitas urges you to do so immediately. In the event you need a blank copy of the agreement, you may download one at: www.cms.hhs.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS588.pdf.

Please write “JH Transition” at the top of the agreement for easier identification and mail to the following address.

Novitas Solutions, Inc.
Provider Enrollment Services
JH Transition
PO Box 3095
Mechanicsburg, PA 17055-1813
Attention: Shelley Kuhn