Effective October 1, 2012, the Physical/Speech and Occupational Therapy Used Amount returned in the eligibility response will show actual Therapy service usage per the Centers for Medicare and Medicaid Services (CMS) guidelines.
The Therapy Used Amount returned in the eligibility response will temporarily show as $0 for most Medicare beneficiaries between October 1, 2012 and October 8, 2012. Submitters planning to update their beneficiary records to reflect the change in Therapy financial data should wait until after October 8, 2012.
Action Required: Wait until after October 8, 2012 to update your beneficiary records to reflect this change in Therapy Used Amount.
If you have any questions, please contact Client Services at 1-888-348-8457, option 2.
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