View Rule

View EO 12866 Meetings Printer-Friendly Version     Download RIN Data in XML
HHS/OS RIN: 0991-AB61 Publication ID: Spring 2011 
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: Final 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  03/17/2011  76 FR 14637   
NPRM Comment Period End  05/16/2011    
Final Action  12/00/2011    
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