Humana will end association with healthcare providers who are affiliated with tax identification numbers or National Provider Identifier numbers (NPIs) on the Centers for Medicare & Medicaid Services (CMS) preclusion list.
The CMS preclusion list includes providers and prescribers who are prohibited from receiving payment for Medicare Advantage (MA) services or Part D drugs prescribed to Medicare beneficiaries. According to the CMS website (link opens in new window), those on the list include individuals or entities who:
Beginning Jan. 1, 2019, the preclusion list will be made available to Humana and other Part D sponsors and MA plans. The preclusion will take effect April 1, 2019, and Humana will:
For more information about the preclusion list and what it means for healthcare providers, including notification and appeal information, go to the CMS website (link opens in new window).