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HHS/CMS | RIN: 0938-AT86 | Publication ID: Fall 2023 |
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. |
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Agency: Department of Health and Human Services(HHS) | Priority: Other Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Completed Actions |
Major: No | Unfunded Mandates: No |
CFR Citation: 42 CFR 402 45 CFR 102 | |
Legal Authority: 42 U.S.C. 1395y(b)(8) |
Legal Deadline:
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Overall Description of Deadline: MMA section 902 requires Medicare final rules publish within 3 years of a proposed or interim final rule. A notice may publish in the Federal Register before the 3-year deadline extending the timeline. We do not intend to delay publishing the final regulation if we are able to publish it sooner. |
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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 | |
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 |