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 2012_register executive 2012-04-27 article Part III Rules and Regulations D09002ee1c7fd16d8 D09002ee1c7fd17f1 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 This final rule finalizes several provisions of the Affordable Care Act implemented in the May 5, 2010 interim final rule with comment period. It requires all providers of medical or other items or services and suppliers that qualify for a National Provider Identifier (NPI) to include their NPI on all applications to enroll in the Medicare and Medicaid programs and on all claims for payment submitted under the Medicare and Medicaid programs. In addition, it requires physicians and other professionals who are permitted to order and certify covered items and services for Medicare beneficiaries to be enrolled in Medicare. Finally, it mandates document retention and provision requirements on providers and supplier that order and certify items and services for Medicare beneficiaries. 77 FR 25284 https://www.govinfo.gov/app/details/FR-2012-04-27/2012-9994 2012-9994 fr27ap12-21 RIN 0938-AQ01 4120-01-P CMS-6010-F https://www.govinfo.gov/app/details/FR-2012-04-27/2012-9994 https://www.govinfo.gov/content/pkg/FR-2012-04-27/html/2012-9994.htm https://www.govinfo.gov/content/pkg/FR-2012-04-27/pdf/2012-9994.pdf Emergency Medical Services Health Facilities Health Professions Medicare Reporting and Recordkeeping Requirements Grant Programs-Health Medicaid Privacy 35 p. 25284 25318 77 FR 25284 Title 42 Part 424 42 CFR Part 424 Title 42 Part 431 42 CFR Part 431 RIN 0938-AQ01 Medicare and Medicaid Programs; Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements; Federal Register Vol. 77, Issue RULE 2012-9994 III DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2012-06-26 CMS-6010-F 4120-01-P 2012-9994 Final rule.

This final rule finalizes several provisions of the Affordable Care Act implemented in the May 5, 2010 interim final rule with comment period. It requires all providers of medical or other items or services and suppliers that qualify for a National Provider Identifier (NPI) to include their NPI on all applications to enroll in the Medicare and Medicaid programs and on all claims for payment submitted under the Medicare and Medicaid programs. In addition, it requires physicians and other professionals who are permitted to order and certify covered items and services for Medicare beneficiaries to be enrolled in Medicare. Finally, it mandates document retention and provision requirements on providers and supplier that order and certify items and services for Medicare beneficiaries.

Effective June 26, 2012 the interim final rule amending 42 CFR parts 424 and 431 that published on May 5, 2010 (75 FR 24437) is confirmed as final with changes. Katie Mucklow Lehman, (410) 786-0537, for Medicare issues. Donna Schmidt, (410) 786-5532 for Medicaid issues. Emergency Medical Services Health Facilities Health Professions Medicare Reporting and Recordkeeping Requirements Grant Programs-Health Medicaid Privacy Medicare and Medicaid Programs: Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements , EUSSupport@cgi.com OIRA_submission@omb.eop.gov http://nppes.viva-it.com/NPI_Files.html http://www.cms.gov/MedicareProviderSupEnroll http://www.cms.gov/MedicareProviderSupEnroll/ http://www.cms.gov/MedicareProviderSupEnroll/04_InternetbasedPECOS.asp http://www.cms.gov/MedicareProviderSupEnroll/06_MedicareOrderingandReferring.asp http://www.cms.gov/MedicareProviderSupEnroll/06_MedicareOrderingandReferring.asp#TopOfPage http://www.medicare.gov/find-a-doctor/provider-search.aspx http://www.whitehouse.gov/sites/default/files/omb/assets/regulatory_matters_pdf/a-4.pdf https://nppes.cms.gov/NPPES/NPIRegistryHome.do https://nppes.cms.hhs.gov/NPPES/NPIRegistryHome.do https://pecos.cms.hhs.gov/pecos/login.do Medicare.gov www.cms.gov/MedicareProviderSupEnroll www.cms.gov/NationalProvIdentStand/ Vol. 77, no. 82 Office of the Federal Register, National Archives and Records Administration 2012-04-27 continuing daily deposited born digital 346 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2012-04-27 P0b002ee1825e9e09 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr27ap12 https://www.govinfo.gov/app/details/FR-2012-04-27 https://www.govinfo.gov/content/pkg/FR-2012-04-27/pdf/FR-2012-04-27.pdf https://www.govinfo.gov/content/pkg/FR-2012-04-27/xml/FR-2012-04-27.xml fdlp 25015 25348 DGPO 2012-04-27 2024-06-03 FR-2012-04-27 machine generated eng FR FR-2012-04-27 77 82