{"abstract":"This final rule will revise and expand current Medicare and Medicaid regulations regarding the imposition and collection of civil money penalties by CMS when nursing homes are not in compliance with Federal participation requirements in accordance with section 6111 of the Affordable Care Act of 2010.","action":"Final rule.","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 and 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/2011/03/18/2011-6144.html","cfr_references":[{"chapter":null,"citation_url":null,"part":488,"title":42}],"citation":"76 FR 15106","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on January 1, 2012.","disposition_notes":null,"docket_ids":["CMS-2435-F"],"dockets":[],"document_number":"2011-6144","effective_on":"2012-01-01","end_page":15128,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2011/03/18/2011-6144.xml","html_url":"https://www.federalregister.gov/documents/2011/03/18/2011-6144/medicare-and-medicaid-programs-civil-money-penalties-for-nursing-homes","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2011-6144?publication_date=2011-03-18","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2011-03-18/2011-6144/mods.xml","not_received_for_publication":null,"page_length":23,"page_views":{"count":2267,"last_updated":"2026-09-20 12:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2011-03-18/pdf/2011-6144.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2011-03-18","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2011/03/18/2011-6144.txt","regulation_id_number_info":{},"regulation_id_numbers":[],"regulations_dot_gov_info":{"checked_regulationsdotgov_at":"2011-04-07T08:10:36Z"},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":15106,"subtype":null,"title":"Medicare and Medicaid Programs; Civil Money Penalties for Nursing Homes","toc_doc":"Civil Money Penalties for Nursing Homes","toc_subject":"Medicare and Medicaid Programs:","topics":["Administrative practice and procedure","Health facilities","Medicare","Reporting and recordkeeping requirements"],"type":"Rule","volume":76}