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HHS/CMS | RIN: 0938-AQ58 | Publication ID: Spring 2011 |
Title: ●Compliance Program For Providers and Suppliers (CMS-6037-P) | |
Abstract: This proposed rule implements several provisions of the Affordable Care Act. Section 6401 requires the Secretary to establish the core elements of a compliance program for Medicare, Medicaid and SCHIP providers and suppliers. The compliance program would now be a condition of enrollment. Section 6402(c) requires the Secretary to establish appropriate administrative remedies for any beneficiary that knowingly participated in fraud. Finally, section 6402(d) requires that the Secretary to establish a process for a provider or supplier to return an overpayment to the program, as well establish a process for CMS and its contractors to receive and apply the overpayment. | |
Agency: Department of Health and Human Services(HHS) | Priority: Other Significant |
RIN Status: First time published in the Unified Agenda | Agenda Stage of Rulemaking: Proposed Rule Stage |
Major: Undetermined | Unfunded Mandates: Undetermined |
CFR Citation: Not Yet Determined (To search for a specific CFR, visit the Code of Federal Regulations.) | |
Legal Authority: PL 111-148, 6401 (a)(7), 6402 (c), 6402 (d) |
Legal Deadline:
None |
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Timetable:
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Regulatory Flexibility Analysis Required: Undetermined | Government Levels Affected: State |
Small Entities Affected: Businesses | Federalism: Undetermined |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: John Spiegel Director, Division of Policy and Regulatory Development, Medicare Program Integrity Group Department of Health and Human Services Centers for Medicare & Medicaid Services Center for Program Integrity, MS: AR-18-50, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-1909 Fax:410 786-0604 Email: john.spiegel@cms.hhs.gov |