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HHS/CMS RIN: 0938-AT83 Publication ID: Fall 2021 
Title: Accrediting Organizations--Changes to Change of Ownership (CMS-3368) 

This final rule adds new requirements and a specified process to address changes of ownership in the sale, transfer, or purchase of assets of Accrediting Organizations (AOs) for the Centers for Medicare & Medicaid Services (CMS) approved accreditation programs. This change is intended to provide CMS the ability to receive notice when an AO is undergoing or negotiating a change of ownership (CHOW) and the ability to review the AO’s capability to perform its tasks after a CHOW has occurred, in order to ensure the ongoing effectiveness of the approved accreditation program(s) and to minimize risk to patient safety.

Agency: Department of Health and Human Services(HHS)  Priority: Substantive, Nonsignificant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 410    42 CFR 414    42 CFR 488    42 CFR 493   
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1395hh   
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.  05/02/2022 

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.

Action Date FR Cite
NPRM  05/02/2019  84 FR 18748   
NPRM Comment Period End  07/01/2019 
Final Action  05/00/2022 
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:
Jessica Wright
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Clinical Standards and Quality, MS: C2-21-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-3838