On January 6, 2017, a new safe harbor to the federal anti-kickback statute went into effect. The federal anti-kickback statute prohibits offering, paying, soliciting or receiving any remuneration given directly or indirectly, overtly or covertly, in cash or in kind, in return for patient, product, or service referrals of business reimbursed through federal health care programs.
Because the statute is broad, and has the potential to prohibit innocuous or even beneficial commercial arrangements, there are numerous safe harbor provisions that describe various payment and business practices that are not treated as offenses under the statute.
The new safe harbor protects free or discounted local transportation services for federal health care program beneficiaries. To be protected under the new safe harbor, the following conditions must be met:
The transportation does not need to be planned in advance, and providers who do not want to provide the transportation themselves can provide their patients with vouchers. Moreover, the new safe harbor also permits shuttle services that run on a set route and on a set schedule, provided that the shuttle travels no more than 25 miles from any stop on the route to any stop where health care items or services are provided.
Finally, providers should keep in mind that for all non-shuttle transportation services, the safe harbor only applies to transportation services provided to “established patients.” Patients are considered “established patients” after they select and initiate contact with a provider or supplier to schedule an appointment.
Leslie M. Cumber
410-576-4248 • firstname.lastname@example.org