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CMS Sets Date to Expand Pre-Claim Demo in Florida

This week the Centers for Medicare and Medicaid Services (CMS) announced plans to launch the Pre-Claim Review Demonstration (PCRD) in Florida on April 1. The announcement follows several months of delay after the PCRD launch in Illinois.

The PCRD, which was initially set to launch no later than October 1 in Florida, will require home health care providers to submit claims to CMS contractors for approval prior to service. Since the launch in Illinois, PCRD has received substantial pushback from agencies as well as lawmakers.

CMS has not provided any information on when the program will expand in additional states. The PCRD was initially scheduled to roll out in Texas, Massachusetts and Michigan.

CHAP will continue to monitor developments on the PCRD and provide updates as more information is made available. 

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