View Rule

View EO 12866 Meetings Printer-Friendly Version     Download RIN Data in XML

HHS/CMS RIN: 0938-AU21 Publication ID: Spring 2020 
Title: ●Medicare, Medicaid and Health Insurance Exchanges Program Integrity; Modernizing State Payment of Medicare Premiums (CMS-6084) 

Under Executive Order 13890, Protecting and Improving Medicare for Our Nation’s Seniors, this rule proposes regulatory changes to protect beneficiaries and taxpayers. The efforts to detect and prevent fraud, waste, and abuse outlined in this rule include proposed changes to Medicare and Medicaid provider enrollment and administrative actions, program integrity requirements for Medicare Advantage (MA) and the risk adjustment data validation (RADV) program, and changes to certain documentation requirements.  This rule also includes several proposals to modernize state payment of Medicare premiums.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: Undetermined 
EO 13771 Designation: Regulatory 
CFR Citation: 42 CFR 400    42 CFR 402    42 CFR 405    42 CFR 406    ...     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1395hh   
Legal Deadline:  None
Action Date FR Cite
NPRM  09/00/2020 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Undetermined 
Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
John Spiegel
Director, Division of Policy and Regulations
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Program Integrity, MS: AR-18-49, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1909