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HHS/CMS RIN: 0938-AP01 Publication ID: Fall 2013 
Title: Requirements for the Medicare Incentive Reward Program and Provider Enrollment (CMS-6045-F) 
Abstract: This final rule revises the Incentive Reward Program provisions and certain provider enrollment requirements. This rule increases the incentive for individuals to report fraud, improves CMS's ability to detect new fraud schemes, and helps to ensure that potentially fraudulent entities and individuals do not enroll in or maintain their enrollment in the Medicare program. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 405    42 CFR 420    42 CFR 424    42 CFR 498   
Legal Authority: HIPAA    PL 111-148 sec 6402(j) and 6503   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA Section 902  04/29/2016 
Timetable:
Action Date FR Cite
NPRM  04/29/2013  78 FR 25013   
NPRM Comment Period End  06/28/2013 
Final Action  04/00/2016 
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:
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:410 786-0035
Email: john.spiegel@cms.hhs.gov