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HHS/CMS | RIN: 0938-AS84 | Publication ID: Fall 2018 |
Title: Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-F) | |
Abstract:
This final rule implements statutory provisions that furnish the agency with additional authority to deny or revoke a provider's or supplier's Medicare enrollment in certain specified circumstances. It also requires that to order, certify, refer, or prescribe any Part A or B service, item, or drug, a physician or, when permitted, an eligible professional must be enrolled in Medicare in an approved status or have validly opted out of the Medicare program. |
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Agency: Department of Health and Human Services(HHS) | Priority: Economically Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Final Rule Stage |
Major: Yes | Unfunded Mandates: No |
EO 13771 Designation: Regulatory | |
CFR Citation: 42 CFR 405 42 CFR 424 42 CFR 455 42 CFR 457 | |
Legal Authority: 42 U.S.C. 405(a) 42 U.S.C. 1302 42 U.S.C. 1395x 42 U.S.C. 1395y(a) 42 U.S.C. 1395ff 42 U.S.C. 1395hh 42 U.S.C. 1395kk 42 U.S.C. 1395rr 42 U.S.C. 1395ww(k) 42 U.S.C. 263a Pub. L. 111-148, sec. 6401 |
Legal Deadline:
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Overall Description of Deadline: MMA section 902 requires Medicare final rules publish within three-years of a proposed or interim final rule. Rule may publish before the three-year deadline. |
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Timetable:
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Regulatory Flexibility Analysis Required: No | Government Levels Affected: Federal, State |
Small Entities Affected: Businesses | Federalism: No |
Included in the Regulatory Plan: No | |
RIN Data Printed in the FR: No | |
Agency Contact: Frank Whelan Health Insurance Specialist 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:410 786-1302 Email: frank.whelan@cms.hhs.gov |