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HHS/CMS RIN: 0938-AV20 Publication ID: Fall 2024 
Title: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023 (CMS-1799) 
Abstract:

This final rule modifies the Medicare Shared Savings Program (Shared Savings Program) regulations to address the impact of significant, anomalous, and highly suspect billing activity in calendar year 2023 on Shared Savings Program calculations including on performance year (PY) 2023 Accountable Care Organization (ACO) financial reconciliation.

 
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 
CFR Citation: 42 CFR 425   
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1306    42 U.S.C.1395hh    42 U.S.C. 1395jjj   
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.  07/03/2027 

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
NPRM  07/03/2024  89 FR 55168   
NPRM Comment Period End  07/29/2024 
Final Action  09/27/2024  89 FR 79152   
Final Action Effective  10/15/2024 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Fiona Larbi
Acting Director, Division of ACO Finance & Data Analytics
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicare, MS: C5-15-12, 7500 Security Blvd,
Baltimore, MD 21244
Phone:410 786-7224
Email: fiona.larbi@cms.hhs.gov