CMS Provides Information on Fingerprint Background Requirement
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CMS has recently announced additional information on the fingerprint requirement that was implemented on August 6, 2014.
Comply with MAC Fingerprints Requests within 30 Days
CMS implemented the fingerprint-based background requirement on August 6, 2014. Fingerprint-based background checks are required for all individuals with a 5 percent or greater ownership interest in a provider or supplier that falls into the high risk category and is currently enrolled in Medicare or has submitted an initial enrollment application. Medicare Administrative Contractors (MACs) have begun sending letters to these providers and suppliers, listing all owners who are required to be fingerprinted. The letters are being mailed to the provider or supplier’s correspondence address and the special payments address on file with Medicare.
Identified individuals have 30 days from the date of the letter to be fingerprinted. Failure to comply with the fingerprint requirements could result in denial of your Medicare enrollment application or revocation of your Medicare billing privileges. Visit Accurate Biometrics at www.cmsfingerprinting.com for fingerprinting procedures, to find a fingerprint collection site, and to ensure the fingerprint results are accurately submitted to the Federal Bureau of Investigation (FBI) and properly returned to CMS.
See MLN Matters® Special Edition Article #SE1427, “Fingerprint-based Background Check Begins August 6, 2014.”
Instructions for complying with MAC Requests:
Print the standard fingerprint form (FD-258) and Affidavit on regular printer paper by clicking the button below.
Fingerprints should be placed on the FD-258 fingerprint card.Individuals may NOT fingerprint themselves; fingerprints MUST be obtained from a law enforcement agency or fingerprint vendor.
Each fingerprint form FD-258 must include rolled impressions of all 10 fingerprints and impressions of all 10 fingerprints taken simultaneously. (these are sometimes referred to as plain or flat impressions)
Affidavit must be completed by the local law enforcement agency or fingerprint vendor.
Contact your local law enforcement agency or fingerprint vendor to make arrangements to have your affidavit completed and hard copy ink fingerprints taken directly on each of these forms (photocopies of your fingerprints are not permitted; however, if the agency taking the prints uses livescan and a printer to print a fingerprint card, that method is acceptable). Please note that the agency may charge a fee to take your fingerprints.
