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DOD/DODOASHA | RIN: 0720-AB74 | Publication ID: Spring 2020 |
Title: Civil Money Penalties and Assessments Under the Military Health Care Fraud and Abuse Prevention Program | |
Abstract:
This rule will implement authority provided to the Secretary of Defense under section 1128A(m) of the Social Security Act (42 U.S.C. 1320a-7a(m)). This authority allows the Secretary of Defense as the administrator of a Federal healthcare program to impose civil monetary penalties (CMPs or penalties) as described in 1128A of the Social Security Act against providers and suppliers who commit fraud and abuse in the TRICARE program. This rule establishes a program within the DoD to impose civil monetary penalties for certain such unlawful conduct in the TRICARE program. To the extent applicable, we are adopting the Department of Health and Human Service’s (HHS’s), well-established CMP rules and procedures. This will enable both TRICARE and TRICARE providers to rely upon Medicare precedents and guidance issued by the HHS Office of Inspector General regarding conduct that implicates the civil monetary penalty law. The program to impose civil monetary penalties in the TRICARE program shall be called the Military Health Care Fraud and Abuse Prevention Program. |
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Agency: Department of Defense(DOD) | Priority: Substantive, Nonsignificant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Final Rule Stage |
Major: No | Unfunded Mandates: No |
EO 13771 Designation: Other | |
CFR Citation: 32 CFR 199 32 CFR 200 | |
Legal Authority: 5 U.S.C. 301 10 U.S.C. ch. 55 |
Legal Deadline:
None |
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Timetable:
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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: Michael Zleit Attorney, DHA Department of Defense Office of Assistant Secretary for Health Affairs 7700 Arlington Boulevard, Room 5101, Falls Church, VA 22042 Phone:703 681-6756 Email: michael.j.zleit.civ@mail.mil |