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HHS/CMS RIN: 0938-AN31 Publication ID: Fall 2008 
Title: Termination of Non-Random Prepayment Review (CMS-6022-F) 
Abstract: This rule implements the statutory requirements regarding the termination of non-random prepayment review under section 934 of the Medicare Prescription Drug Improvement and Modernization Act beginning December 8, 2003. This rule provides guidelines for terminating a provider of services or supplier from non-random payment review. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 421   
Legal Authority: sec 934 of the MMA   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec 902.  10/07/2008 
Timetable:
Action Date FR Cite
NPRM  10/07/2005  70 FR 58649   
Final Action  09/26/2008  73 FR 55753   
Final Action Effective  11/25/2008    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Debbie Skinner
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Financial Management, Program Integrity Group, Mailstop C3-02-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-7480
Email: debbie.skinner@cms.hhs.gov

Daniel Schwartz
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Financial Management, Program Integrity Group, Mailstop C3-02-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4197
Email: daniel.schwartz@cms.hhs.gov