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HHS/CMS RIN: 0938-AS84 Publication ID: Fall 2018 
Title: Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-F) 
Abstract:

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.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 14192 Designation: Regulatory 
CFR Citation: 42 CFR 405    42 CFR 424    42 CFR 455    42 CFR 457   
Legal Authority: 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   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA section 902.  03/01/2019 

Overall Description of Deadline: 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.

Timetable:
Action Date FR Cite
NPRM  03/01/2016  81 FR 10719   
NPRM Comment Period End  04/25/2016 
Final Action  03/00/2019 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Frank Whelan
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Program Integrity, MS: AR-18-50, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1302
Email: frank.whelan@cms.hhs.gov