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Hospice Agencies must act before 5 PM on January 30, 2015 to secure access and review their profiles.

Home Care Agencies should complete their PS&R before this system change, as those with the fiscal year ended 9/30/14 have cost reports due on 3/2/15.

There will be no system access while CMS migrates from IACS to EIDM between January 30 and February 8, 2015.

CMS will migrate from the Individuals Authorized Access to the CMS Computer Services (IACS) to the Enterprise Identity Management System (EIDM) on February 9, 2015.  This change applies only to current users of the following applications: Bundle Payments EFT, COB, CPCi, CSR, ECRS, Gentran, HPG, Internet Server (TIBCO), MAPD (MARx UI), MDR, MED, myCGS, Novitasphere, PS&R, STAR, The SPOT (FCSO) and VMS CL IACS. 

In preparation for the move, no new user registrations or profile modifications will be accepted after 5:00 PM on January 30, 2015.

While existing IACS accounts will be transitioned over for use in EIDM, security questions and answers currently established in IACS will NOT be a part of the migration. These questions are currently used to enable expired or forgotten password resets without having to contact the service desk, EUS (External User Services), for assistance.  Upon successful login to the new EIDM account management system, you will be asked to establish new security questions and answers.

In light of this, it is strongly encouraged that all PS&R users login to their IACS account prior to January 30, 2015 to change their password. The "Change Password" option can be found at the following location (accept the terms & conditions and password change screen will appear): This will ensure that an individual will not have to contact EUS for assistance with a password change when EIDM is made available on February 9, 2015.

Tom Boyd, Vice President for Reimbursable Services, Simione Healthcare Consultants, warns that this change is more urgent for hospices than home health agencies.  In his interview this week with Tim Rowan for Home Care Technology Report, Boyd explained, “Historically, few hospices ever registered for IACS to receive the PS&R. Hospices, unlike some HHAs, do not use the PS&R for the cost report.”

All that is changing, because hospices are now required to file an annual Hospice Cap Report, extracting the Cap period data from the PS&R. Boyd clarified that the Cap period differs from the cost report year or calendar year. “Hospices have no other option, and this report is due by March 31,” he said.

Hospice agencies need to check immediately to determine whether they can access the information they need to file their new Hospice Cap Report and overpayment remittances (see Federal register, 8/22/14). Effective for the Cap year that ended on October 31, 2014, all hospice providers will now have to self-disclose the aggregate Cap calculation and remit overpayments. 

The first report is due to MACs no later than March 31, 2015. Boyd recommends filing in February, as soon as CMS releases the new filing forms. Failure to file will result in suspension of Medicare payments.  The MAC’s final Cap determination will then reconcile all data, which could potentially result in an increase or decrease of the self-disclosed calculation and calculate any inpatient liability.

CMS guidelines for immediate action include:

What you should DO!

  1. DO make sure that you know your User ID and Password. Your User ID and Password will be moved “as is” on January 30 after 5:00 PM. You should be certain that you know your User ID and Password AND that you can successfully login to IACS before 5:00 PM, Friday, January 30, 2015.
  2. DO reset your password if you think that your password might expire between January 30 and February 9, 2015.
  3. DO work with your Application Helpdesk to get any pending request approved before 5:00 PM, Friday, January 30, 2015.
  4. DO review your profile and ensure that all information is correct prior to 5:00 PM, Friday, January 30, 2015.

What you should NOT do!

  1. DO NOT register for a new User ID in IACS if it cannot be approved prior to 5:00 PM, Friday, January 30, 2015
  2. DO NOT register for a new User ID in EIDM! This will only complicate moving your IACS User ID to EIDM!
  3. DO NOT make changes to your user profile or submit a request of any type that cannot be approved prior to 5:00 PM, Friday, January 30, 2015.

For PS&R and STAR Security Officials: If you are requesting the IACS Security Official (SO) role, please note, that your request will expire if the required IRS documentation is not submitted within 60 days of your request. Allow time for processing and if you know that your request will expire, please contact EUS before the 60 day deadline.

Do not disclose or lend your User ID AND/OR PASSWORD to someone else. They are for your use only and serve as your electronic signature. This means that you will be held responsible for the consequences of unauthorized or illegal transactions. Sharing of accounts may lead to termination of system access privileges and /or adverse action up to and including legal prosecution.

Read the full regulation (pages 50471-50474)


Sources:  CMS, Health Financial Systems (HFS) and Tim Rowan, Home Care Technology Report

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