0938-AS84 201804 Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-F)

This final rule implements statutory provisions that furnish the agency with additional authority to deny or revoke a provider's or supplier's Medicare enrollment in certain specified circumstances.  It also requires that to order, certify, refer, or prescribe any Part A or B service, item, or drug, a physician or, when permitted, an eligible professional must be enrolled in Medicare in an approved status or have validly opted out of the Medicare program.

]]> Economically Significant Previously Published in The Unified Agenda Final Rule Stage Yes No Regulatory 42 CFR 405 42 CFR 424 42 CFR 455 42 CFR 457 42 U.S.C. 405(a) 42 U.S.C. 1302 42 U.S.C. 1395x 42 U.S.C. 1395y(a) 42 U.S.C. 1395ff 42 U.S.C. 1395hh 42 U.S.C. 1395kk 42 U.S.C. 1395rr 42 U.S.C. 1395ww(k) 42 U.S.C. 263a Pub. L. 111-148, sec. 6401 Statutory Final 03/01/2019 MMA section 902. MMA section 902 requires Medicare final rules publish within three-years of a proposed or interim final rule. Rule may publish before the three-year deadline. No NPRM 03/01/2016 81 FR 10719 NPRM Comment Period End 04/25/2016 Final Action 03/00/2019 No Businesses Federal State No No No Frank Whelan Health Insurance Specialist 0938 Centers for Medicare & Medicaid Services CMS 410 786-1302 frank.whelan@cms.hhs.gov Center for Program Integrity, MS: AR-18-50, 7500 Security Boulevard, Baltimore MD 21244