United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2011_register executive 2011-02-02 article Part II Rules and Regulations D09002ee1c800637d D09002ee1c8006442 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency United States Office of Inspector General originator org United States Government Agency or Subagency This final rule with comment period will implement provisions of the ACA that establish: Procedures under which screening is conducted for providers of medical or other services and suppliers in the Medicare program, providers in the Medicaid program, and providers in the Children's Health Insurance Program (CHIP); an application fee imposed on institutional providers and suppliers; temporary moratoria that may be imposed if necessary to prevent or combat fraud, waste, and abuse under the Medicare and Medicaid programs, and CHIP; guidance for States regarding termination of providers from Medicaid and CHIP if terminated by Medicare or another Medicaid State plan or CHIP; guidance regarding the termination of providers and suppliers from Medicare if terminated by a Medicaid State agency; and requirements for suspension of payments pending credible allegations of fraud in the Medicare and Medicaid programs. This final rule with comment period also discusses our earlier solicitation of comments regarding provisions of the ACA that require providers of medical or other items or services or suppliers within a particular industry sector or category to establish compliance programs. We have identified specific provisions surrounding our implementation of fingerprinting for certain providers and suppliers for which we may make changes if warranted by the public comments received. We expect to publish our response to those comments, including any possible changes to the rule made as a result of them, as soon as possible following the end of the comment period. Furthermore, we clarify that we are finalizing the adoption of fingerprinting pursuant to the terms and conditions set forth herein. 76 FR 5862 https://www.govinfo.gov/app/details/FR-2011-02-02/2011-1686 2011-1686 fr02fe11-12 RIN 0938-AQ20 4120-01-P CMS-6028-FC https://www.govinfo.gov/app/details/FR-2011-02-02/2011-1686 https://www.govinfo.gov/content/pkg/FR-2011-02-02/html/2011-1686.htm https://www.govinfo.gov/content/pkg/FR-2011-02-02/pdf/2011-1686.pdf Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Emergency Medical Services Accounting Drugs Fraud Investigations Health Insurance 110 p. 5862 5971 76 FR 5862 Title 42 Part 1007 42 CFR Part 1007 Title 42 Part 405 42 CFR Part 405 Title 42 Part 424 42 CFR Part 424 Title 42 Part 447 42 CFR Part 447 Title 42 Part 455 42 CFR Part 455 Title 42 Part 457 42 CFR Part 457 Title 42 Part 498 42 CFR Part 498 RIN 0938-AQ20 Medicare, Medicaid, and Children's Health Insurance Programs; Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria, Payment Suspensions and Compliance Plans for Providers and Suppliers; Federal Register Vol. 76, Issue RULE 2011-1686 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Office of Inspector General 2011-03-25 2011-04-04 CMS-6028-FC 4120-01-P 2011-1686 Final rule with comment period.

This final rule with comment period will implement provisions of the ACA that establish: Procedures under which screening is conducted for providers of medical or other services and suppliers in the Medicare program, providers in the Medicaid program, and providers in the Children's Health Insurance Program (CHIP); an application fee imposed on institutional providers and suppliers; temporary moratoria that may be imposed if necessary to prevent or combat fraud, waste, and abuse under the Medicare and Medicaid programs, and CHIP; guidance for States regarding termination of providers from Medicaid and CHIP if terminated by Medicare or another Medicaid State plan or CHIP; guidance regarding the termination of providers and suppliers from Medicare if terminated by a Medicaid State agency; and requirements for suspension of payments pending credible allegations of fraud in the Medicare and Medicaid programs. This final rule with comment period also discusses our earlier solicitation of comments regarding provisions of the ACA that require providers of medical or other items or services or suppliers within a particular industry sector or category to establish compliance programs. We have identified specific provisions surrounding our implementation of fingerprinting for certain providers and suppliers for which we may make changes if warranted by the public comments received. We expect to publish our response to those comments, including any possible changes to the rule made as a result of them, as soon as possible following the end of the comment period. Furthermore, we clarify that we are finalizing the adoption of fingerprinting pursuant to the terms and conditions set forth herein.

Effective date: These regulations are effective on March 25, 2011. Comment date: We will consider public comments only on the Fingerprinting Requirements, contained in Sec. Sec. 424.518 and 455.434 and discussed in section II.A.5. of the preamble of this document, if we receive them at one of the addresses provided below, no later than 5 p.m. on April 4, 2011. Frank Whelan (410) 786-1302 for Medicare enrollment issues. Claudia Simonson (312) 353-2115 for Medicaid and CHIP enrollment issues. Lori Bellan (410) 786-2048 for Medicaid payment suspension issues and Medicaid termination issues. Joseph Strazzire (410) 786-2775 for Medicare payment suspension issues. Laura Minassian-Kiefel (410) 786-4641 for compliance program issues. Administrative Practice and Procedure Health Facilities Health Professions Kidney Diseases Medical Devices Medicare Reporting and Recordkeeping Requirements Rural Areas X-Rays Emergency Medical Services Accounting Drugs Fraud Investigations Health Insurance Medicare, Medicaid, and Children's Health Insurance Programs: Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria, Payment Suspensions and Compliance Plans for Providers and Suppliers , http://oig.hhs.gov/fraud/exclusions/exclusions_list.asp http://oig.hhs.gov/oei/reports/oei-04-09-00540.pdf http://www.cms.gov/FraudAbuseforProfs/Downloads/bppedisclosure.pdf http://www.cms.gov/FraudAbuseforProfs/downloads/fraudreferralperformancestandardsstateagencytomfcu.pdf http://www.cms.gov/MedicareProviderSupEnroll http://www.cms.gov/SMDL/downloads/SMD011609.pdf http://www.cms.gov/smdl/downloads/SMD061208.pdf http://www.hhs.gov/news/press/2010pres/09/20100920e.html http://www.regulations.gov http://www.ussc.gov/2010guid/20100503_Reader_Friendly_Proposed_Amendments.pdf http://www.whitehouse.gov/sites/default/files/omb/assets/omb/circulars/a004/a-4.pdf Vol. 76, no. 22 Office of the Federal Register, National Archives and Records Administration 2011-02-02 continuing daily deposited born digital 377 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2011-02-02 P0b002ee180bd366f 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr02fe11 https://www.govinfo.gov/app/details/FR-2011-02-02 https://www.govinfo.gov/content/pkg/FR-2011-02-02/pdf/FR-2011-02-02.pdf https://www.govinfo.gov/content/pkg/FR-2011-02-02/xml/FR-2011-02-02.xml fdlp 5679 6047 DGPO 2011-02-02 2024-06-04 FR-2011-02-02 machine generated eng FR FR-2011-02-02 76 22