0938-AU90 202210 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Medicare and Medicaid Program Integrity (CMS-6084)

This proposed rule includes provisions that would promote payment accuracy and efficiency and help CMS identify and deter fraud, waste, and abuse in a timely, effective manner, enabling the Agency to protect the Medicare and Medicaid programs and the Children’s Health Insurance Program (CHIP). This rule would implement portions of section 6101(a) of the Patient Protection and Affordable Care Act (Affordable Care Act), which require the disclosure of certain ownership, managerial, and other information regarding Medicare skilled nursing facilities (SNFs) and Medicaid nursing facilities.

]]> Economically Significant Previously Published in The Unified Agenda Proposed Rule Stage Yes Undetermined 42 CFR 400 42 CFR 402 42 CFR 405 42 CFR 406 ... 42 U.S.C. 1302 42 U.S.C. 1395hh Yes

This rule is necessary to strengthen CMS’s program integrity efforts across Medicare, Medicaid, and the CHIP and increase transparency and accountability.

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The proposals included in this rule will address several sections of title XVIII of the Social Security Act.

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Alternatives considered will be described in the rule.

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As many of the provisions to be included in this rule are still under development, it is not possible at this time to provide cost and benefit estimates.  As it is developed further, such estimates will be included in the proposed rule.

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The proposed provisions included in this rule would address a number of program integrity vulnerabilities.  Risks of the proposals are still under development and will be included in the rule.

]]> NPRM 01/00/2023 Undetermined Federal State Undetermined No No John Spiegel Senior Advisor 0938 Centers for Medicare & Medicaid Services CMS 410 786-1909 john.spiegel@cms.hhs.gov Center for Program Integrity, MS: AR-19-15, 7500 Security Boulevard, Baltimore MD 21244