FAC ID and Provider Number Change Scenarios
SCENARIO
1. HHA Subunit to
Parent or Vice
Versa
2. SNF to NF or
Vice Versa
CERTIFICATION.
ACTION
• Update subunit
and parent
provider
information on
the CMS-1572a
screen in ASPEN
and update to
ODIE
• No survey
required
OSCAR
PROVIDER NO.
• No change
•
•
•
•
3. CHOW with
Assignment
•
•
•
Terminate the
SNF or NF
No survey
required
Certify the NF or
SNF
•
No change
ASSESSMENT
RULES
• No action
required
COMMENTS
•
•
•
Assign agreement •
to new owner
Change owner
name & indicate
CHOW in
OSCAR/ASPEN
No survey
required
Document Created by CMS
FAC ID
Establish new
provider and no.
Cross ref. to
previous provider
no.
•
No change
•
No action
required
No change
•
No change
•
No action
required
•
New policy
effective with
February 8,
2002 release of
ASPEN 5.0
Revising SOM
Section 2779
provider number
ranges to allow
same OSCAR
number range
for parents and
subunits.
New policy
effective with
the 2/8/02
release of
ASPEN 5.0
Posted 11/2003
FAC ID and Provider Number Change Scenarios
SCENARIO
CERTIFICATION.
ACTION
OSCAR
PROVIDER NO.
FAC ID
ASSESSMENT
RULES
4 CHOW without
Assignment
•
Terminate old
provider
agreement
Survey
Certify new
provider
New provider
agreement
•
Establish new
provider and no.
Cross ref. to
previous provider
no.
•
New FAC ID
•
Discharge and
Readmit
Terminate nonsurviving
provider
agreement and
number
•
Retain surviving
provider no.
Cross ref. to
previous provider
no.
•
One FAC ID
survives
•
Discharge from
non-surviving
provider and
Readmit to
surviving
Terminate
Medicare
provider
agreement
Survey
Certify new
provider
Issue provider
agreement
•
Terminate
provider no.
•
No change
•
Discharge all
•
Establish new
provider and no.
No change (if FAC
ID already
established in
ASPEN)
•
Admit all
•
•
•
5. Merger of Two
Medicare Providers
into One
•
6. Medicare Certified
to Private Pay Only
•
7. Private Pay (never •
Medicare certified)
•
to Medicare Certified
Provider
•
Document Created by CMS
•
•
COMMENTS
Posted 11/2003
FAC ID and Provider Number Change Scenarios
SCENARIO
8. Private Pay
(previously Medicare
certified and
terminated) to
Medicare Certified
Provider
9. Medicare HHA or
NH with Two
Separate Statelicensed
Components
CERTIFICATION.
ACTION
• Survey
• Certify new
provider
• Issue provider
agreement
OSCAR
PROVIDER NO.
• Establish new
provider and
Medicare
provider number
FAC ID
•
Certify as one
Medicare
Provider
Survey entire
provider
•
One provider no.
for entire
Medicare
provider
•
•
•
•
New FAC ID
because this FAC
ID already has a
Medicare
Provider number
associated with it
One FAC ID for
Medicare
provider
CMS does not
allow additional
FAC IDs in
ASPEN, OASIS,
or MDS for the
same provider.
ASSESSMENT
RULES
• Admit all
•
All assessments
tied to one
Medicare FAC
ID
10. Adding a Second
Hospital-based SNF
or NF
•
Prohibited under
Medicare &
Medicaid regs
•
N.A.
•
N.A
•
N.A
11. Hospital-based
SNF Changes to
Freestanding
•
•
•
No change
No survey
Update to F/S in
OSCAR/ASPEN
•
No change
•
No change
•
No action
required
Document Created by CMS
COMMENTS
•
FAC ID cannot
have two
associated
provider numbers
•
Additional SNFs
or NFs must be
freestanding
Posted 11/2003
FAC ID and Provider Number Change Scenarios
SCENARIO
12. Certifying
a Distinct Part SNF
within in a NF
13. Provider moves
to another address
CERTIFICATION.
ACTION
• No survey
• Terminate NF
• Certify as
SNF/NF with DP
•
•
Survey at SA/RO
discretion
Change address
in ASPEN
Document Created by CMS
OSCAR
PROVIDER NO.
• Establish new
provider and no.
for a SNF/NF
• Cross ref. to
previous provider
no.
• No change
FAC ID
•
No change
•
No change
ASSESSMENT
RULES
• Carry forward
with FAC ID
•
COMMENTS
•
New policy
effective with the
2/8/02 release of
ASPEN 5.0
No change
Posted 11/2003