My Payer Directory

  • BCBS Prefix Lookup
  • BCBS Phone Numbers
  • Medicare Contractors
  • State Medicaid Plans
  • Home
  • Medicare Advantage List
  • NPI Registry

CMS To Begin Revoking Access to CWF Eligibility

Good morning and happy November. As 2019 draws to a close, CMS as finally given a date for starting to get of HIQA, HIQH, ELGA and ELGH. They sent out the announcement below on 11/1. It sounds like they’re starting with clearinghouses first and will trickle down to everyone else later. I’ll pass on information on this as it becomes available.

” CMS will begin revoking access to Common Working File (CWF) eligibility transactions HIQA, HIQH, ELGA and ELGH effective February 1, 2020.  Submitters that aggregate transactions for otherwise disparate providers (e.g., clearinghouses, billing services, software vendors, etc.) and have both HETS and CWF based eligibility access should use HETS exclusively.

CMS will remove HIQA/HIQH/ELGA/ELGH access for these submitters by revoking role-based access for specific CMS RACF IDs. CMS will revoke access starting with high-volume aggregators. Aggregators that use both HETS and CWF based eligibility should assume they must use HETS only no later than February 1, 2020.”

Nov 4, 2019Payer Goddess
MBI Transition Period Coming to an EndIndustry Updates for December 2019
Comments: 3
  1. Cynthia Davies
    1 year ago

    I’m not sure what this even means, or if it pertains to us as a provider.

    ReplyCancel
  2. Payer Goddess
    1 year ago

    If you’re using the old CMS “green screen” application to get medicare eligibility, they’re going to eventually turn off your login. it sounds like they’re starting with the large vendors first.

    ReplyCancel
  3. LL
    1 year ago

    we use HIQA to look up HOSPICE care for some PT. It is useful I wonder what will CMS put in its place to verify certain types of eligibility such as that one.

    ReplyCancel

Leave a Reply Cancel reply

Tools
  • CMS NPI Registry
  • SSN Allocations List
  • UPIN Database Lookup
Recent Posts
  • Aetna Referral Add Issue
  • CMS Eligibility Response Updates 6/13/2020
  • UHC Waiving All Member Cost Shares for Covid until 5/31
  • Optum Behavioral Health Covid-19 Changes
  • Aetna Eligibility Response Changes Regarding Covid-19
Archives
November 2019
M T W T F S S
 123
45678910
11121314151617
18192021222324
252627282930  
« Sep   Dec »
Categories
  • Payer News
  • Site Updates
2020 My Payer Directory All rights reserved.