View Rule

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

HHS/CMS RIN: 0938-AU73 Publication ID: Fall 2021 
Title: ●Reassignment of Medicaid Provider Claims (CMS-2444) 

This final rule reinterprets the scope of the general requirement that state payments for Medicaid services under a state plan must be made directly to the individual practitioner providing services, in the case of a class of practitioners for which the Medicaid program is the primary source of revenue. Specifically, it explicitly authorizes states to make payments to third parties to benefit individual practitioners by ensuring health and welfare benefits, training, and other benefits customary for employees, if the practitioner consents to such payments to third parties on the practitioner's behalf.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 447   
Legal Authority: 42 U.S.C. 1396a    42 U.S.C. 1302   
Legal Deadline:
Action Source Description Date
NPRM  Judicial  Expiration of abeyance of court decision requiring CMS reconsider statutory question.  08/01/2021 
Action Date FR Cite
NPRM  08/03/2021  86 FR 41803   
NPRM Comment Period End  09/28/2021 
Final Action  03/00/2022 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Christopher Thompson
Deputy Director, Division of Reimbursement Policy, Financial Management Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: C4-26-05, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4044