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HHS/CMS RIN: 0938-AT51 Publication ID: Spring 2019 
Title: Medicare Shared Savings Program: Addressing Extreme and Uncontrollable Circumstances (CMS–1702–F) 
Abstract:

This rule finalizes the interim final rule published on December 26, 2017 that addresses financial and quality performance of Medicare Shared Savings Program Accountable Care Organizations (ACOs) affected by extreme and uncontrollable circumstances.

 
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 
EO 14192 Designation: Fully or Partially Exempt 
CFR Citation: 42 CFR 425   
Legal Authority: 42 U.S.C. 1302 and 1395hh   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule.  12/26/2020 

Overall Description of Deadline: Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily-mandated regulations, we schedule all Medicare final regulations for publication within the 3-year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner.

Timetable:
Action Date FR Cite
Interim Final Rule  12/26/2017  82 FR 60912   
Interim Final Rule Effective  01/20/2018 
Interim Final Rule Comment Period End  02/20/2018 
Final Action Merged With 0938-AT45 Final Rule  12/31/2018  83 FR 67816   
Final Action Effective  02/14/2019 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Elizabeth November
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C5-15-24, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-8084
Email: elizabeth.november@cms.hhs.gov