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Medicare HETS 270/271 Eligibility - Information Bulletin - Therapy Used Amount Update - September 21, 2012
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HETS 270/271

Medicare HETS 270/271 Submitters:

The previously announced changes to the Physical/Speech and Occupational Therapy financial data returned in the HETS 271 response will occur as scheduled effective October 1, 2012.  However, the Therapy used amount returned in the modified 271 response will temporarily show as $0 for most Medicare beneficiaries.  CMS estimates that this data will be updated no later than October 8, 2012.  Following this update, the Therapy used amount returned in the modified and updated 271 response will show actual Therapy service usage per CMS guidelines.

Submitters that are planning to update their beneficiary records to reflect the change in Therapy financial data should wait until after October 8, 2012 to submit these eligibility requests.  Non-urgent eligibility requests should be submitted after hours (including weekends) whenever possible.

Please contact the Help Desk if you have questions or comments.
Medicare Customer Assistance Re: Eligibility (MCARE) Help Desk