Medicare, Medicaid, and Childrens Health Insurance Programs: Additional Screening Requirements, etc., for Providers and Suppliers

Document ID: CMS-2010-0239-0001
Document Type: Proposed Rule
Agency: Centers For Medicare & Medicaid Services
Topics: Administrative Practices and Procedures, Health Facilities, Health Professions, Kidney Diseases, Medical Devices, Medicare, Reporting and Recordkeeping Requirements, Rural Areas, X-Rays
Federal Register Number: 2010-23579
CFR Citation: 42 CFR Parts 405, 424, 438, 447, 455, 457, 1007
View Document:

Details Information

Abstract:	This proposed rule would implement provisions of the Affordable Care Act 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 to be imposed on 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 proposed rule would also present an approach and request comments on the provisions of the Affordable Care Act that require providers of medical or other items or services or suppliers within a particular industry sector or category to establish compliance programs.
Document Subtype:	Advance Notice of Proposed Rulemaking (ANPRM)
Received Date:	September 23 2010, at 12:00 AM Eastern Daylight Time
Start-End Page:	58203 - 58248
Page Count:	46
Comment Start Date:	September 23 2010, at 12:00 AM Eastern Standard Time
Comment Due Date:	November 16 2010, at 11:59 PM Eastern Standard Time