View Rule

View EO 12866 Meetings

Printer-Friendly Version     Download RIN Data in XML

---

HHS/OS

RIN: 0991-AB61

Publication ID: Fall 2010

Title: Revision to Prohibition on FFP for "Data Mining" by Medicaid Fraud Control Units
Abstract: This notice proposes modifications to current regulations that prohibit State Medicaid Fraud Control Units (MFCUs) from using Federal matching funds to conduct efforts to identify situations in which a question of fraud may exist, including the screening of claims, analysis of patterns of practice, or routine verification with recipients of whether services billed by providers were actually received. The modifications would allow data mining to be conducted by MFCUs under limited circumstances.
Agency: Department of Health and Human Services(HHS)	Priority: Other Significant
RIN Status: Previously published in the Unified Agenda	Agenda Stage of Rulemaking: Proposed Rule Stage
Major: No	Unfunded Mandates: No
CFR Citation: 42 CFR 1007
Legal Authority: 42 USC 1302    42 USC 1396b(a)(6)    42USC 1396(b)(3)    42 USC 1396b(q)

Legal Deadline:  None

Timetable: Action Date FR Cite NPRM  01/00/2011

Regulatory Flexibility Analysis Required: No	Government Levels Affected: State
Federalism: No
Included in the Regulatory Plan: No
RIN Data Printed in the FR: No
Agency Contact: Patrice S. Drew Regulations Analyst Department of Health and Human Services 330 Independence Avenue SW, Washington, DC 20201 Phone:202 619-1368 Email: patrice.drew@hhs.gov