CWF Eligibility Transition to HETS
What is happening and when?
Effective April 2013, CMS plans to discontinue access to the CWF queries through the shared systems: MCS PPTN, VMS VPIQ and FISS DDE. Medicare providers and their agents that currently access the CWF queries through the shared system screens will need to modify their business processes to use HETS to access Medicare beneficiary eligibility information. (MLN Matters Articles Number: SE1249)
What action do I need to take?
If you currently use CWF to obtain Medicare health insurance eligibility information for Medicare fee-for service patients, CMS has indicated that you must immediately begin transitioning to the Medicare HETS system by contacting a CMS approved Network Service Vendor.
How can ABILITY help?
ABILITY is a CMS approved Network Service Vendor who has been connected to the Medicare HETS system since it was released in 2005. We are one of the nation’s largest volume submitters to HETS and we have been planning for this CMS transition—we are prepared to help you, now and in the future. Contact us today to get started.