{"abstract":"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.","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 & 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/2012/04/27/2012-9994.html","cfr_references":[{"chapter":null,"citation_url":null,"part":424,"title":42},{"chapter":null,"citation_url":null,"part":431,"title":42}],"citation":"77 FR 25284","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"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.","disposition_notes":null,"docket_ids":["CMS-6010-F"],"dockets":[],"document_number":"2012-9994","effective_on":"2012-06-26","end_page":25318,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2012/04/27/2012-9994.xml","html_url":"https://www.federalregister.gov/documents/2012/04/27/2012-9994/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/2012-9994?publication_date=2012-04-27","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2012-04-27/2012-9994/mods.xml","not_received_for_publication":null,"page_length":35,"page_views":{"count":22169,"last_updated":"2026-08-24 20:15:14 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2012-04-27/pdf/2012-9994.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2012-09994.pdf?1335298327","publication_date":"2012-04-27","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2012/04/27/2012-9994.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":"2012-05-17T08:07:04Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":25284,"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; and Changes in Provider Agreements","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":77}