Sharing State Licensure Information With Medicare Contractors

3305 - Sharing State Licensure Information With Medicare Contractors (Rev. 1, 05-21-04) To promote the fiscal integrity of Federal health programs it is essential that all health care professional liscensure revocations, non-renewals and denials as well as other changes in the legal ability to practice a profession or operate a health care business are reported to any appropriate Medicare fiscal intermediary, carrier or other Medicare contractor within two weeks after the State takes action as the result of such a change. Notice of a change in licensure status or the legal ability to practice should be reported in writing (hard copy or electronically) and should contain the reason for change in the licensure status, as well as all information necessary to adequately identify the health professionals or entities in question. This would include entities and individuals such as physicians who, although they are not surveyed for compliance with Conditions, nevertheless play an important role in the Medicare program by approving plans of care or treatment and ordering items and services for Medicare beneficiaries.