{"abstract":"This interim final rule with comment period implements several provisions set forth in the Patient Protection and Affordable Care Act (Affordable Care Act). It implements the provision which 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. This interim final rule with comment period also requires physicians and eligible professionals to order and refer covered items and services for Medicare beneficiaries to be enrolled in Medicare. In addition, it adds requirements for providers, physicians, and other suppliers participating in the Medicare program to provide documentation on referrals to programs at high risk of waste and abuse, to include durable medical equipment, prosthetics, orthotics and supplies (DMEPOS), home health services, and other items or services specified by the Secretary.","action":"Interim final rule with comment period.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2010/05/05/2010-10505.html","cfr_references":[{"chapter":null,"citation_url":null,"part":424,"title":42},{"chapter":null,"citation_url":null,"part":431,"title":42}],"citation":"75 FR 24437","comment_url":null,"comments_close_on":"2010-07-06","correction_of":null,"corrections":[],"dates":"Effective date: These regulations are effective on July 6, 2010. Comment date: To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on July 6, 2010.","disposition_notes":null,"docket_ids":["CMS-6010-IFC"],"dockets":[],"document_number":"2010-10505","effective_on":"2010-07-06","end_page":24449,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2010/05/05/2010-10505.xml","html_url":"https://www.federalregister.gov/documents/2010/05/05/2010-10505/medicare-and-medicaid-programs-changes-in-provider-and-supplier-enrollment-ordering-and-referring","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2010-10505?publication_date=2010-05-05","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2010-05-05/2010-10505/mods.xml","not_received_for_publication":null,"page_length":13,"page_views":{"count":3452,"last_updated":"2026-07-26 14:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2010-05-05/pdf/2010-10505.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2010-05-05","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2010/05/05/2010-10505.txt","regulation_id_number_info":{"0938-AQ01":{"issue":"201104","html_url":"https://www.federalregister.gov/regulations/0938-AQ01/changes-in-provider-and-supplier-enrollment-ordering-and-referring-and-documentation-requirements-an","title":"Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements (CMS-6010-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201104&RIN=0938-AQ01&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AQ01"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AQ01/changes-in-provider-and-supplier-enrollment-ordering-and-referring-and-documentation-requirements-an","title":"Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements (CMS-6010-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2010-0187","supporting_documents_count":0,"docket_id":"CMS-2010-0187","regulation_id_number":"0938-AQ01","title":"Medicare and Medicaid Programs; Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements","checked_regulationsdotgov_at":"2010-06-21T18:34:05Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":24437,"subtype":null,"title":"Medicare and Medicaid Programs; Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements","toc_doc":"Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements, etc.","toc_subject":"Medicare and Medicaid Programs:","topics":["Emergency medical services","Grant programs-health","Health facilities","Health professions","Medicaid","Medicare","Privacy","Reporting and recordkeeping requirements"],"type":"Rule","volume":75}