• Principal Consultant


Discontinuation of the Moratorium on the Enrollment of Durable Medical

Equipment Providers Located Outside of California and in Los Angeles, Orange,

Riverside and San Bernardino Counties.

The Department of Health Care Services (DHCS) ended the moratorium on the

enrollment of durable medical equipment (DME) providers located outside of California

and in Los Angeles, Orange, Riverside and San Bernardino Counties on

February 23, 2019.

This bulletin provides information for DME applicants in the affected

counties applying for enrollment in the Medi-Cal Fee-For-Service Program during the

six-month period following the expiration of the moratorium.

Title 42, Code of Federal Regulations (CFR), Section 455.450(e)(2), and Welfare and

Institutions Code (W&I), Section 14043.38(b)(4), specify that a provider that would have

been prevented from applying for enrollment due to a moratorium that has been lifted in

the past six months, be screened at the “high” categorical risk level.

In addition, the Centers for Medicare and Medicaid Services (CMS) currently designates

all newly enrolling DME suppliers as a “high” categorical risk, subjecting all new DME

applicants to fingerprinting for criminal background checks. (Title 42, CFR §§ 424.518,

455.434, and 455.450).

A “high” risk screening requires a provider or applicant to submit proof that fingerprints

for all the required individuals have been submitted to an authorized State Identification

Bureau (Bureau of Criminal Information and Analysis, Department of Justice [DOJ] in

California). Providers and applicants must attach a copy of a prefilled DOJ Request for

Live Scan Service (BCIA 8016) form for each required individual with their application,

date stamped and show verification that all fees have been paid, by either a “PAID”

stamp from the public Live Scan operator or a receipt of payment.

For more detailed information on which individuals are required to submit fingerprints,

please review the Information Bulletin Regarding Medi-Cal Requirement to Submit

Fingerprints for a Criminal Background Check.

If you are a currently enrolled DME provider that is not located out-of-state or in one of

the counties that were subject to the moratorium, you do not need to be screened as

“high” risk.

Additionally, if you are a currently enr