Loading...
HomeMy WebLinkAbout20240681.tiffRESOLUTION RE: APPROVE AUTHORIZATION FORM FOR CERTIFICATION OF ACCESS MANAGERS FOR MEDICARE AND MEDICAID SERVICES (CMS), AND AUTHORIZE CHAIR TO SIGN - CENTERS FOR MEDICARE/MEDICAID WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Authorization Form for Certification of Access Managers for Medicare and Medicaid Services (CMS) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Centers for Medicare/Medicaid, commencing upon full execution of signatures, with further terms and conditions being as stated in said form, and WHEREAS, after review, the Board deems it advisable to approve said form, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Authorization Form for Certification of Access Managers for Medicare and Medicaid Services (CMS) between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment, and the Centers for Medicare/Medicaid, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said form. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 20th day of March, A.D., 2024. ATTEST: di,„44, Jll�.a: Weld County Clerk to the Board BY: In•(J(/lO7 Deputy Clerk to the Board APP' lVED A O FORM: County A orneyl Date of signature: 3r�ri BOARD OF COUNTY COMMISSIONERS WELD COUNTY 7C___ 0 ..� Key' ta-D oss, Chair Perry L. ck, Pro-Tem Mike Freeman ai e c c : (-1l. 2024-0681 HL0057 Cbn- c+t\-flc BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) ACCESS DEPARTMENT: PUBLIC HEALTH AND ENVIRONMENT DATE: FEBRUARY 22, 2024 PERSON REQUESTING: JASON CHESSHER, EXECUTIVE DIRECTOR SHAUN MAY, PUBLIC HEALTH SERVICES DIRECTOR Brief description of the problem/issue: The Clinical Services Division is currently unable to fully bill for some Medicare and Medicaid services because staff is unable to update our list of providers in CMS. To resolve this, we seek authorization from the BOCC to update the enclosed "CMS Authorization" form that will enable staff to update the list of clinical providers (registered nurses, nurse practitioners, and physicians) to enable the department to bill for services provided. Additionally, we seek to update the authorization of "Access Managers" as the two individuals current authorized no longer work for the department. Sonya Oster, Business Operations Manager,.aeel-Sheer, Rebus -H , will be designated as the new "Access Managers". Authorization by the BOCC Chair will allow current staff to update and add new providers into the CMS system.r-' What options exist for the Board? . (h,,4 -t , Consequences: Previous staff with current access to the CMS account need to be removed. Updating the "Access Managers" will allow current staff will allow to obtain NPI numbers for new clinical staff (registered nurses, nurse practitioners, and physicians) so that we can bill Medicaid for covered services provided to patients. Impacts: Without approval from the Board, the department is unable to fully receive reimbursement for services provided. This results in a missed opportunity for additional revenue to offset County costs. Costs (Current Fiscal Year / Ongoing or Subsequent Fiscal Years): There is no cost associated with making this change, but the change will result in an increase in revenue due to more effective billing for services provided. Recommendation: I recommend approval/authorization by the Board to update the CMS Authorization form. Support Recommendation Schedule Place on BOCC Agenda Work Session Other/Comments: Perry L. Buck, Pro -Tern Mike Freeman Scott K. James Kevin D. Ross , Chair Lori Saine Via &qui tm O iZftu2 la4Ra 2024-0681 3/2, Karla Ford From: Sent: To: Cc: Subject: Approve thanks ** Sent from my iPhone ** ScotttJames Thursday, February 22, 2024 8:10 AM Karla Ford Kevin Ross; Lori Saine Re:Please Reply= Health' CMsS.pass'around Scott K. James Weld County Commissioner, District 2 1150 O Street, P.O. Box 758, Greeley, Colorado 80632 970.336.7204 (Office) 970.381.7496 (Cell) Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. On Feb 22, 2024, at 7:52 AM, Karla Ford <kford@weld.gov> wrote: Please advise if you support recommendation and to have department place on the agenda. Karla Ford X Office Manager, Board of Weld County Commissioners 1150 O Street, P.O. Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kford@weldgov.com :: www.weldgov.com :. **please note my working hours are Monday -Thursday 7:00a.m. 5:00p.m.*" <image003.jpg> Confidentiality Notice: This electronic transmission and any attached documents or other writings ore intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you hove received this communication in error, please immediately notify sender by return a -moil and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. Karla Ford From: Sent: To: Subject: Yes apprgve Kevin Ross KeViriiRoss Thursday, February 22, 2024 8:03 AM Karla Ford; Scott James; Lori Saine Re Please=Reply, .Health CMS pass around : From: Karla Ford <kford@weld.gov> Sent: Thursday, February 22, 2024 7:52:05 AM To: Kevin Ross <kross@weld.gov>; Scott James <sjames@weld.gov>; Lori Saine <Isaine@weld.gov> Subject: Please Reply - Health CMS pass around Please advise if you support recommendation and to have department place on the agenda. Karla Ford X Office Manager, Board of Obld County Commissioners 1150 O Street, P.O. Box 758, Greeley, Colorado 80632 :: 970.336-7204 :: kfordOwetdgov.com :: www.weldgov.com :. **Please note my working#tours are Monday -Thursday 7:OOa.m.-5:OOp.m." Confidentiality Notice: This electronic transmission and any attached documents or other writings ore intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return a -mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited From: Jason Chessher <jchessher@weld.gov> Sent: Thursday, February 22, 2024 7:26 AM To: Karla Ford <kford@weld.gov> Cc: Shaun May <smay@wetd.gov> Subject: CMS pass around Good morning again, This is the first of two pass arounds for the Board. Let me know if you need anything on my end. Jason Chessher Executive Director Weld County Department of Public Health & Environment 1555 N 17th Ave, Greeley, CO 80631 970-400-2293 Karla Ford From: Sent: To: Subject: :yes, Lori Saine Weld County Commissioner, District 3 1150 O Street PO Box 758 Greeley CO 80632 Phone: 970-400-4205 Fax: 970-336-7233 Email: Isaineweldeov.com Website: www.co.weld.co.us In God We Trust 113ri Saine Thursday, February 22, 2024 8:19 AM Karla Ford R€ Please Reply -,Health. CMS pass around Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Karla Ford <kford@weld.gov> Sent: Thursday, February 22, 2024 7:52 AM To: Kevin Ross <kross@weld.gov>; Scott James <sjames@weld.gov>; Lori Saine <Isaine@weld.gov> Subject: Please Reply - Health CMS pass around Importance: High Please advise if you support recommendation and to have department place on the agenda. Karla Ford Office Manager, Board of Weld County Commissioners 1150 O Street, P.O. Box 758, Greeley, Colorado 80632 Creation Date :02/07/2024 Tracking Id: D10715233 Certification of Access Manager for an Organization YOU MUST PRINT ALL PAGES, COMPLETE ALL FIELDS, FOLLOW ALL INSTRUCTIONS BELOW, AND SUBMIT ALL PAGES TO CMS. SECTION 1 - PURPOSE AND INSTRUCTIONS: The purpose of this Access Manager Certification is for the Authorized Official listed below to confirm that they are aware that the individual identified as the Access Manager has requested access to act on behalf of the Organization listed below, and that the Authorized Official approves this individual may act on the Organization's behalf when accessing CMS computer systems, including but not limited to Provider Enrollment, Chain and Ownership System (PECOS). For the purposes of this Certification, the following definitions apply: . Authorized Official: An appointed official of the Organization with the legal authority to conduct business related to the Organization, including if applicable enrollment of the Organization in Medicare in accordance with Medicare statutes, regulations, and instructions. . Individual Provider: An individual provider that submits claims to the Medicare Part B programs and provides Medicare -covered medical items and services to Medicare beneficiaries. . Organizational Provider: An organizational entity (including a group practice) that submits claims to the Medicare Part A and/or Part B Medicare programs and provides Medicare -covered medical items and services to Medicare beneficiaries. . Organization: An Organizational Provider or other organizational entity registered in a CMS computer systems for the sole purpose of acting on behalf of a Individual or Organizational Providers with respect to the Medicare Program. When you have completed and confirmed all information below you submit all pages, and a copy of the CP575 for the Organization to CMS via CMS External User Services. Please contact the CMS External User Services (EUS) Help Desk should you have any questions regarding this Access Manager Certification. Please return all pages and completed and signed to: CMS External User Services (EUS) Help Desk, PO Box 792750, San Antonio TX 78279, Phone Number: (866) 484-8049 SECTION 2 - CONFIRMATION OF UNDERSTANDING AND PENALTIES FOR FALSIFYING INFORMATION FOR INDIVIDUAL OR ORGANIZATION PROVIDER By signing below and submitting this information to CMS the individual identified in Section 3B ("Authorized Official") confirms that they are an Authorized Official as defined above for the Organization identified in Section 3A ("Organization"), and that: i) the individual identified in Section 3C ("Access Manager") is a representative of the Organization; ii) is employed by the Organization; iii) has been authorized by the Organization to access CMS computer systems on its behalf and modify or view any information contained therein that the Organization may have permission or right to access; and iv) to conduct business with the Medicare program in accordance with Medicare statutes, regulations, and instructions. The signatures below further confirm that both the Authorized Official and Access Manager have read, understand, and agree to all statements herein, including the following: 18 U.S.C. I/A 1001 authorizes criminal penalties against an individual who, in any matter within the jurisdiction of any department or agency of the United States, knowingly and willfully falsifies, conceals or covers up by any trick, scheme or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry. Individual offenders are subject to fines of up to $250,000 and imprisonment for 0.2002 fG O.1 s/ up to five years. Offenders that are organizations are subject to fines of up to $500,000(18 U.S.C. ii'/z 3571). Section 3571(d) also authorizes fines of up to twice the gross gain derived by the offender if it is greater than the amount specifically authorized by the sentencing statute. Any deliberate omission, misrepresentation, or falsification of any information contained in this application or contained in any communication supplied to Medicare or its contractors, or any deliberate alteration of any text on this confirmation, may be punishable by criminal, civil, or administrative penalties including, but not limited to, the denial or revocation of Medicare billing privileges and/or imposition of fines, civil damages, and/or imprisonment. Section 3A - Organization Information: Tracking Id:D10715233 Organization's Legal Business Name: WELD COUNTY BOARD OF COMMISSIONERS, ON BEHALF OF THE DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT EIN: 846000813 NPI: N/A Section 3B -Authorized Official for Organization: Tracking Id:D10715233 I, the undersigned, certify that I have read and agree to all statements within the confirmation, and that all information contained herein is true, correct, and complete. I agree that if I become aware that any information contained herein is not true, correct, or complete, I shall notify the CMS EUS Help Desk of this fact immediately. Authorized Official Full Name (First, Middle, Last, Jr., Sr., M.D., D.O., etc): Kevin D. Ross, Chair Phone Number: 970-400-4228 E-mail Address: BOC �weld.gov SSN: (J'it‘.D--"-ei/2 (14) Authorized Official Signature: X (:), Date Signed: 03/20/2024 «— Section 3C - Access Manager Information: Tracking Id:D10715233 I, the undersigned, certify that I have read and agree to all statements within the confirmation, and that all information contained herein is true, correct, and complete. I agree that if I become aware that any information contained herein is not true, correct, or complete, I shall notify the CMS EUS Help Desk of this fact immediately. Access Manager Full Name (First, Middle, Last, Jr., Sr., M.D., D.O., etc): Sonya Oster Phone Number: 303-868-0087 E-mail Address: sosteK weld.gov SSN: XX'Y XX-9940 Access Manager Signature: Sari (34.amt. Date Signed (MM/DD/YYYY): 03/04/2024 02002 D�8 Esther Gesick From: Sent: To: Cc: Subject: Hi Shaun, Houstan Aragon Monday, March 18, 2024 11:34 AM Bill Fritz; Health Contracts CTB; Shaun May RE: Contract ID #7908 Thank you for the phone call explaining at this time the Authorization Form is only to reflect Sonya. I will be on the lookout for the updated PA to reflect that change. Best, Houstan Aragon Deputy Clerk to the Board Clerk to the Board's Office Weld County 1150 O Street Greeley, CO 80631 Tel: (970) 400-4224 Email: harapon@weld.gov Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. From: Houstan Aragon Sent: Monday, March 18, 2024 11:22 AM To: Bill Fritz <bfritz@weld.gov>; Health Contracts <Health-Contracts@weld.gov> Cc: CTB <CTB@co.weld.co.us>; Shaun May <smay@weld.gov> Subject: Contract ID #7908 Good morning Bill and Health Contracts Team, Sonya Oster and Shaun May are to be designated as Access Managers, according to the PA that accompanied the Authorization Form for Certification of Access Managers for Medicare and Medicaid Services (CMS); however, the Form only reflects Ms. Oster and not Mr. May. Please provide a secondary form filled out with Mr. May's information and signature. I will add that to the current form to have both approved with one resolution. Since both legal and finance have review and approved the form, there will be no need to have this second one routed. Please reach out if you have questions. Best, Houstan Aragon Deputy Clerk to the Board Clerk to the Board's Office Weld County 1150 O Street Greeley, CO 80631 Tel: (970) 400-4224 Email: haragon(@weld.gov Confidentiality Notice: This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure. If you have received this communication in error, please immediately notify sender by return e-mail and destroy the communication. Any disclosure, copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited. 2 Contract For Entity Information Entity Name* Entity ID* CENTER FOR MEDICARE/MEDICAID @00048141 SVCS (CMS) ❑ New Entity? Contract Name* Contract ID CENTER FOR MEDICARE/MEDICAID SVCS (CMS) 7908 Contract Status CTB REVIEW Contract Description * CENTER FOR MEDICARE/MEDICAID SVCS (CMS) Contract Description 2 Contract Type* AGREEMENT Amount* $0.00 Renewable* YES Automatic Renewal YES Grant IGA Department HEALTH Department Email CM-Health@weldgov.com Department Head Email CM-Health- DeptHead@weldgov.com County Attorney GENERAL COUNTY ATTORNEY EMAIL County Attorney Email CM- COUNTYATTORNEY@WEL DGOV.COM If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Contract Lead * BFRITZ Contract Lead Email bfritz@weld.gov;Health- Contracts@weld.gov Parent Contract ID Requires Board Approval YES Department Project # Requested BOCC Agenda Due Date Date* 03/16/2024 03/20/2024 Will a work session with BOCC be required?* NO Does Contract require Purchasing Dept. to be included? Note: the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Termination Notice Period Contact Information Contact Info Review Date * 01/01/2025 Renewal Date* 03/04/2025 Committed Delivery Date Expiration Date Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head JASON CHESSHER DH Approved Date 03/06/2024 Final Approval BOCC Approved BOCC Signed Date BOCC Agenda Date 03/20/2024 Finance Approver CHERYL PATTELLI Legal Counsel BRUCE BARKER Finance Approved Date Legal Counsel Approved Date 03/07/2024 03/13/2024 Tyler Ref # AG 032024 Originator BFRITZ Hello