{"abstract":"This final rule with comment period implements statutory provisions 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. In addition, it provides the agency with additional authority to deny or revoke a provider's or supplier's Medicare enrollment in certain specified circumstances. The provisions we are finalizing in this rule are necessary to address various program integrity issues and vulnerabilities by enabling CMS to take action against unqualified and potentially fraudulent entities and individuals, which in turn could deter other parties from engaging in improper behavior.","action":"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/2019/09/10/2019-19208.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},{"chapter":null,"citation_url":null,"part":498,"title":42}],"citation":"84 FR 47794","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: This final rule with comment period is effective on November 4, 2019.","disposition_notes":null,"docket_ids":["CMS-6058-FC"],"dockets":[],"document_number":"2019-19208","effective_on":"2019-11-04","end_page":47857,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2019/09/10/2019-19208.xml","html_url":"https://www.federalregister.gov/documents/2019/09/10/2019-19208/medicare-medicaid-and-childrens-health-insurance-programs-program-integrity-enhancements-to-the","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2019-19208?publication_date=2019-09-10","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2019-09-10/2019-19208/mods.xml","not_received_for_publication":null,"page_length":64,"page_views":{"count":10709,"last_updated":"2026-04-04 14:15:05 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-09-10/pdf/2019-19208.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-19208.pdf?1567696517","publication_date":"2019-09-10","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2019/09/10/2019-19208.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":"2019-11-25T02:30:09Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":47794,"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":"Rule","volume":84}