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HHS/CMS RIN: 0938-AT86 Publication ID: Spring 2020 
Title: Medicare Secondary Payer and Certain Civil Money Penalties (CMS-6061) 
Abstract:

This final rule specifies how and when CMS must calculate and impose civil money penalties (CMPs) when group health plan (GHP) and non group health plan (NGHP) responsible reporting entities (RREs) fail to meet their Medicare Secondary Payer (MSP) reporting obligations in any one or more of the following ways: when RREs fail to register and report as required by MSP reporting requirements; when RREs report as required, but report in a manner that exceeds error tolerances established by the Secretary of the Department of Health and Human Services (the Secretary); when RREs contradict the information the RREs have reported when CMS attempts to recover its payments from these RREs. This rule also establishes CMP amounts and circumstances under which CMPs would and would not be imposed.

 
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 
EO 13771 Designation: Not subject to, not significant 
CFR Citation: 42 CFR 402    45 CFR 102   
Legal Authority: 42 U.S.C. 1395y(b)(8)   
Legal Deadline:
Action Source Description Date
Final  Statutory  MMA sec. 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule.  02/18/2023 

Overall Description of Deadline: Per the CMS notice published December 30, 2004 (69 FR 78442), except for certain Medicare payment regulations and certain other statutorily-mandated regulations, we schedule all Medicare final regulations for publication within the 3-year standardized time limit in the current Unified Agenda. We do not intend to delay publishing a Medicare final regulation for 3 years if we are able to publish it sooner.

Timetable:
Action Date FR Cite
NPRM  02/18/2020  85 FR 8793   
NPRM Comment Period End  04/20/2020 
Final Action  02/00/2023 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: None 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related RINs: Related to 0938-AR88 
Agency Contact:
Jacqueline Cipa
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Office of Financial Management, MS: C3-14-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-3529
Email: jacqueline.cipa@cms.hhs.gov