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HHS/CMS RIN: 0938-AQ64 Publication ID: Spring 2011 
Title: ●Enrollment Requirement to Disclose Affiliation With Suspended, Revoked, or Excluded Providers (CMS-6038-P) 
Abstract: This regulation would implement sections of the Affordable Care Act that require providers or suppliers seeking to enroll in Medicare, Medicaid, or CHIP to disclose any current or previous, direct or indirect affiliation with a provider that has uncollected debt, is subject to a payment suspension under a Federal health care program, has been excluded from Medicare, Medicaid or CHIP or has had its billing privileges denied or revoked. The Secretary may deny enrollment if it has been determined that a previous affiliation poses an undue risk of fraud to the program. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 420    42 CFR 455   
Legal Authority: PL 111-148    PL 111-152, sec 6401(a)(5)   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  08/00/2011    
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, State 
Small Entities Affected: Businesses, Governmental Jurisdictions, Organizations  Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Morgan Burns
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
200 Independence Avenue SW.,
Washington, DC 20201
Phone:202 690-5145
Email: morgan.burns@cms.hhs.gov