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{"DID":"crit11bb5d","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-28-2024 09:45","End Date":"09-02-2024 17:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Monday, September 2, 2024, in observance of Labor Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit13d514","Sites":"JMB^JMHHH^Railroad Beneficiaries","Start Date":"05-23-2024 00:00","End Date":"05-27-2024 23:27","Content":"The Palmetto GBA Railroad Medicare Beneficiary Contact Center (BCC) will be closed on Monday, May 27, 2024, in observance of the Memorial Day holiday.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit242d33","Sites":"JMHHH","Start Date":"11-06-2024 13:12","End Date":"11-06-2024 14:12","Content":"Important Notice: Palmetto GBA is currently experiencing longer than normal Medicare enrollment application processing times. We are actively working to return to our standard processing times, and we regret any inconvenience this may cause. To monitor the progress of your application, please use the Provider Enrollment Application Status Lookup tool on our website.","URL":"https://www.palmettogba.com/internet/PCIDN.nsf/R?OpenAgent&DID=BBHR3825&url=yes&v3=yes","Target":"_blank","Color":"yellow","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit34dea1","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"07-22-2024 08:25","End Date":"07-22-2024 08:30","Content":"Web chat is unavailable due to a system outage. We are working to resolve the issue and will remove this banner once the system is available.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit44d12e","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"10-23-2024 10:46","End Date":"10-25-2024 17:35","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an eight-hour training on Friday, October 25, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4e5c4e","Sites":"JJA^JMA^JMB^JMHHH^JJB","Start Date":"06-14-2024 14:06","End Date":"06-20-2024 06:07","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Wednesday, June 19, 2024, in observance of the Juneteenth holiday. Please note that the chat feature will not be available when the PCC is closed.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crita42d51","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-31-2023 15:00","End Date":"09-04-2023 17:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, September 4, 2023, in observance of Labor Day.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critb5d1bb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"09-25-2024 12:55","End Date":"10-04-2024 17:00","Content":"Due to Hurricane Helene, the Provider Contact Center may experience longer than usual wait times.","URL":"","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"yes"}, {"DID":"critba251d","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-25-2024 15:12","End Date":"07-04-2024 22:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Thursday, July 4, 2024, in observance of Independence Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critbdce2a","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"11-20-2024 14:11","End Date":"11-22-2024 12:55","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for staff training from 8 a.m. to 12 p.m. ET Friday, November 22, 2024. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critcd1cce","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"09-16-2024 10:40","End Date":"09-16-2024 12:00","Content":"The eServices portal is currently unavailable. We are working to resolve the issue and will remove this banner once the portal is available.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"no"}, {"DID":"critcd5b1b","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"09-16-2024 12:17","End Date":"09-16-2024 14:00","Content":"Currently, the eServices portal is intermittently unavailable. We are working to resolve the issue and will remove this banner once functionality is restored.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"critd25353","Sites":"JMHHH","Start Date":"10-28-2024 17:02","End Date":"11-12-2024 17:02","Content":"Registration is now open for the Autumn Run Education Tour. ","URL":"https://www.palmettogba.com/palmetto/jmhhh.nsf/DID/7CNDSGJ7KX","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critdc3d32","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-23-2024 00:00","End Date":"05-27-2024 23:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, May 27, 2024, in observance of Memorial Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critdd335b","Sites":"JMA^JMHHH","Start Date":"06-28-2024 10:47","End Date":"07-01-2024 17:30","Content":"Due to a system delay in processing the Periodic Interim Payment (PIP) and pass-through bi-weekly payments, S.C. and home health and hospice providers scheduled to receive payments on June 28, 2024, will be paid on Monday, July 1, 2024. We apologize for the inconvenience. If you should have questions, please contact us at 855-696-0705 or utilize eServices portal to monitor your payment","URL":"","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"yes"}, {"DID":"critee34e3","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-07-2024 09:00","End Date":"08-09-2024 12:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, August 9, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"criteeae4b","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"09-10-2024 13:06","End Date":"09-13-2024 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, September 13, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}

RESOLVED: Incarceration Claim and Notice Rejections, Reason Code U538H

Published 09/25/2024

RESOLVED: Incarceration Claim and Notice Rejections, Reason Code U538H
Current Status	Date
Resolved	September 24, 2024	Status: On September 23, 2024, the CWF was updated, which corrected the incarceration data for the Medicare beneficiaries affected by this issue. Palmetto GBA has released the claims and HHH notice of admissions/elections suspended in status/location (S/LOC) S MOSUI. Reason Code U538H was removed from the claims/notices to allow them to process after the CWF update.
Resolved	September 24, 2024	Provider Action: Please watch for the claims/notices to process. Medicare beneficiaries with valid incarceration records that overlap the claim/notice’s date of service will reject. Please check an eligibility system, like Palmetto GBA’s eServices, to confirm the record.
Open	August 28, 2024	Status: CMS and CWF are researching to determine how to correct the incarceration date for impacted beneficiaries and process claims that rejected in error or have been suspended. Palmetto GBA is currently suspending affected claims and HHH notice of admissions/elections to status/location (S/LOC) S MOSUI until the issue is resolved. Some claims and notices may have rejected prior the implementation of the suspension. Correcting the rejections will be part of the resolution.
Open	August 28, 2024	Provider Action: No action is needed at this time. Palmetto GBA will provide updates when available.
Issue Description
An Eligibility Database update that incorrectly identifies some beneficiaries as incarcerated caused the Common Working File (CWF) to reject claims and home health/hospice (HHH) notice of admissions/elections in error. They are rejecting incorrectly with reason code U538H for "SERVICES BILLED WHILE BENEFICIARY IS INCARCERATED."

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