View Rule
| Printer-Friendly Version Download RIN Data in XML |
| HHS/CMS | RIN: 0938-AQ01 | Publication ID: Spring 2011 |
| Title: Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements (CMS-6010-F) | |
| Abstract: This final rule implements several provisions set forth in the Affordable Care Act. Specifically, the rule requires providers and suppliers under the Medicare and Medicaid programs that qualify for a national provider identifier (NPI) to include their NPI on all applications to enroll in such programs and all claims for payment submitted under such programs. The rule also requires, in accordance with section 6405 of the Affordable Care Act, that physician and nonphysician practitioner (NPP) who are eligible to order and refer services for Medicare beneficiaries be enrolled in Medicare and adds requirements for physicians to provide documentation on referrals to programs at high risk of waste and abuse. | |
| Agency: Department of Health and Human Services(HHS) | Priority: Other Significant |
| RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Long-Term Actions |
| Major: No | Unfunded Mandates: No |
| CFR Citation: 42 CFR 424 | |
| Legal Authority: 42 USC 1302 and 1395hh | |
Legal Deadline:
|
||||||||||||
Timetable:
|
| Regulatory Flexibility Analysis Required: No | Government Levels Affected: None |
| Federalism: No | |
| Included in the Regulatory Plan: No | |
| RIN Data Printed in the FR: No | |
|
Agency Contact: John Spiegel Director, Medicare Program of Integrity Group Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Program Integrity, Mail Stop B3-01-14, 7111 Security Boulevard, Baltimore, MD 21244 Phone:410 786-5704 Fax:410 786-0035 Email: john.spiegel@cms.hhs.gov |
|
