{"abstract":"This proposed rule would implement sections of the Affordable Care Act that require Medicare, Medicaid, and Children's Health Insurance Program (CHIP) providers and suppliers to disclose certain current and previous affiliations with other providers and suppliers. This proposed rule would also provide CMS with additional authority to deny or revoke a provider's or supplier's Medicare enrollment. In addition, this proposed rule would require that to order, certify, refer or prescribe any Part A or B service, item or drug, a physician or, when permitted, an eligible professional must be enrolled in Medicare in an approved status or have validly opted-out of the Medicare program.","action":"Proposed 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/2016/03/01/2016-04312.html","cfr_references":[{"chapter":null,"citation_url":null,"part":405,"title":42},{"chapter":null,"citation_url":null,"part":424,"title":42},{"chapter":null,"citation_url":null,"part":455,"title":42},{"chapter":null,"citation_url":null,"part":457,"title":42}],"citation":"81 FR 10720","comment_url":null,"comments_close_on":"2016-04-25","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on April 25, 2016.","disposition_notes":null,"docket_ids":["CMS-6058-P"],"dockets":[],"document_number":"2016-04312","effective_on":null,"end_page":10753,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/03/01/2016-04312.xml","html_url":"https://www.federalregister.gov/documents/2016/03/01/2016-04312/medicare-medicaid-and-childrens-health-insurance-programs-program-integrity-enhancements-to-the","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-04312?publication_date=2016-03-01","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-03-01/2016-04312/mods.xml","not_received_for_publication":null,"page_length":34,"page_views":{"count":6172,"last_updated":"2026-06-26 22:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-03-01/pdf/2016-04312.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-04312.pdf?1456417400","publication_date":"2016-03-01","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/03/01/2016-04312.txt","regulation_id_number_info":{"0938-AS84":{"issue":"201904","html_url":"https://www.federalregister.gov/regulations/0938-AS84/program-integrity-enhancements-to-the-provider-enrollment-process-cms-6058-f-","title":"Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-F)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201904&RIN=0938-AS84&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AS84"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AS84/program-integrity-enhancements-to-the-provider-enrollment-process-cms-6058-f-","title":"Program Integrity Enhancements to the Provider Enrollment Process (CMS-6058-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2016-0031","supporting_documents_count":0,"docket_id":"CMS-2016-0031","regulation_id_number":"0938-AS84","title":"Medicare, Medicaid, and Children’s\nHealth Insurance Programs; Program\nIntegrity Enhancements to the Provider\nEnrollment Process (CMS-6058-P)","checked_regulationsdotgov_at":"2016-04-26T05:00:58Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":10720,"subtype":null,"title":"Medicare, Medicaid, and Children's Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process","toc_doc":"Program Integrity Enhancements to the Provider Enrollment Process","toc_subject":"Medicare, Medicaid, and Children's Health Insurance Programs:","topics":["Administrative practice and procedure","Emergency medical services","Fraud","Grant programs-health","Health facilities","Health insurance","Health professions","Investigations","Kidney diseases","Medical devices","Medicare","Reporting and recordkeeping requirements","Rural areas","X-rays"],"type":"Proposed Rule","volume":81}