A note about hospital-based programs who want to expand into the community:
CMS stated in the CY 2017 Proposed Physician Payment Rule: “when the DSMT services are furnished by an entity that is a hospital outpatient department (HOPD), these DSMT services must be furnished in the hospital (including a provider-based department) and cannot be furnished at alternate non-hospital locations.
No further clarification has been provided by CMS at a national level. It is recommended that you reach out to your local Medicare Administrative Contractor (MAC) for further clarification. Learn more about MACs.
Due to necessary regulatory and oversight provisions, corporate and commercial entities wishing to seek accreditation for multiple locations need to contact AADE for further discussion and pricing.