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HHS/CMS | RIN: 0938-AH73 | Publication ID: Fall 2006 |
Title: Requirements for Providers and Suppliers To Establish and Maintain Medicare Enrollment (CMS-6002-F2) | |
Abstract: This final rule requires that all providers and suppliers (other than physicians who have elected to "opt-out" of the Medicare program) complete an enrollment form and submit specific information to CMS. This rule will require that all providers and suppliers periodically update and certify the accuracy of their enrollment information to receive and maintain billing privileges in the Medicare program. In addition, this final rule will implement provisions in the Medicare statute that require CMS to ensure that all Medicare providers and suppliers are qualified to provide the appropriate health care services. These statutory provisions include requirements meant to protect beneficiaries and the Medicare Trust Funds by preventing unqualified, fraudulent, or excluded providers and suppliers from providing items or services to Medicare beneficiaries or billing the Medicare program or its beneficiaries. | |
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 424 | |
Legal Authority: 42 USC 1302 42 USC 1395hh |
Legal Deadline:
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: None |
Small Entities Affected: Businesses | Federalism: No |
Included in the Regulatory Plan: No | |
Agency Contact: Michael Collett Health Insurance Specialist Department of Health and Human Services Centers for Medicare & Medicaid Services Office of Financial Management, Program Integrity Group, Division of Provider/Supplier Enrollment, N3-22-17, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-6121 |