CMS Final Rule for Fraud Prevention Under Medicare, Medicaid, and CHIP
January 2011
Final rule from the Centers for Medicare and Medicaid Services implementing provisions of the health care reform law aimed at reducing fraud in Medicaid, Medicare and the Children's Health Insurance Program (CHIP), including "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."
Proposed rule published in the Federal Register September 23, 2010.
CMS Final Rule for Fraud Prevention Under Medicare, Medicaid, and CHIP