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Portable X-Ray Suppliers
Overview
Portable X-Ray suppliers may apply for certification to participate in the Medicare/Medicaid programs. The Centers for Medicare and Medicaid Services (CMS) contracts with LARA to evaluate compliance with the federal regulations by conducting certification surveys and complaint investigations.
State licensing is not required for Portable X-Ray. Individual health professionals should check on licensure requirements with the Bureau of Professional Licensing.
Administrator/Leadership Changes
Administrator/Leadership Change Request Form
Submitted form is sent to LARA-BSCSupport@michigan.gov.
Initial Certification
To voluntarily become a Medicare certified provider, you will need to complete the following steps and submit the paperwork electronically to LARA-BSCSupport@michigan.gov, unless otherwise noted in the instructions.
- Complete Provider Enrollment Application (CMS-855B) and submit to Medicare Administrative Contractor (MAC). The MAC will provide you a recommendation letter once the initial review is complete
- An e-mail confirming a successful electronic submission of your Civil Rights Clearance for Medicare Provider Certification from the Office for Civil Rights (OCR).
- A signed “Health Insurance Benefit Agreement” (CMS-1561).
- A completed “Request for Certification as Supplier of Portable X-Ray Services Under the Medicare/Medicaid Program” form (CMS-1880).
- An onsite survey must be completed for initial certification.
- Currently, CMS has prioritized initial surveys as a lower tier work. Following the guidance of the CMS Mission and Priority Document, Michigan is currently not performing initial surveys. CMS does grant exceptions in instances where care deficiencies and accessibility issues for Medicare recipients currently exist. Providers requesting an exception must submit the following:
- A document titled Request for Priority Exception.
- Data demonstrating access to care deficiencies in the area where you are going to provide services.
- Testimonials from physicians and/or facilities attesting to wait times or difficulties in scheduling PXR services (attach any testimonials).
- Attest that the number of Medicare Certified Portable X-ray providers there are in your area are not enough to meet the needs of the population.
- Demographic information for service area with projected growth for Medicare population.
- This narrative should include measurable data or citable sources.
- Once complete, submit the document to LARA-BSCSupport@michigan.gov for evaluation.
- If exception request is granted by CMS, the initial survey will be added to the state’s workload.
- Once the survey is complete and the provider is found compliant, BSC will forward the packet to the MAC for final determination and issuance of final approval letter.
- Please note, this process can take up to 30-60 days from the day of receipt by the MAC.
Change of Ownership (CHOW)
- Complete Provider Enrollment Application (CMS-855A) and submit to Medicare Administrative Contractor (MAC)
- The MAC will provide you a recommendation letter once the initial review is complete.
- An e-mail confirming a successful electronic submission of your Civil Rights Clearance for Medicare Provider Certification from the Office for Civil Rights (OCR)
- A completed “Request for Certification as Supplier of Portable X-Ray Services” (CMS-1880)
- A signed Health Insurance Benefit Agreement (CMS-1561)
- Once the paperwork is complete, BSC will forward the packet to the MAC for final determination and issuance of final approval letter.
- Please note, this process can take up to 30-60 days from the day of receipt by the MAC.
Contact Us
Bureau Phone: 517-284-0193
Bureau Fax Number: 517-763-0214
Help for general questions: LARA-BSCHelp@michigan.gov
Certification Support email (document submission): LARA-BSCSupport@michigan.gov