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HHS/CMS RIN: 0938-AS66 Publication ID: Spring 2016 
Title: Expanding Uses of Medicare Data by Qualified Entities (CMS-5061-F) 

Under the Medicare Access and CHIP Reauthorization Act (MACRA), this final rule implements statutory requirements that expand the permissible uses of Medicare claims data that is obtained by qualified entities in accordance with applicable information, privacy, security and disclosure laws.  In doing so, this rule explains how qualified entities may create non-public analyses and provide or sell such analyses to authorized users, as well as how qualified entities may provide or sell combined data, or provide Medicare claims data alone at no cost, to certain authorized users.  This rule also implements certain privacy and security requirements and impose assessments on qualified entities in the case of a violation of a data use agreement.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 401   
Legal Authority: Pub. L. 114-10, sec. 105   
Legal Deadline:
Action Source Description Date
Final  Statutory  MACRA requires rule be effective by 7/1/16.  07/01/2016 
Final  Statutory  MMA section 902 requires final rule publish by 2/2/19.  02/02/2019 
Action Date FR Cite
NPRM  02/02/2016  81 FR 5397   
NPRM Comment Period End  03/29/2016 
Final Action  02/00/2019 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: Yes 
RIN Data Printed in the FR: No 
Agency Contact:
Allison Oelschlaeger
Senior Advisor
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Enterprise Data and Analytics, MS: 339D, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:202 690-8257