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- Documents
- Public Inspection
Publication date
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- Rule 198
- Proposed Rule 121
Section
- Health & Public Welfare 316
- Business & Industry 22
- Money 14
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- World 4
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Topic
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Agency
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Tribal Temporary Assistance for Needy Families Program (Tribal TANF) and Native Employment Works (NEW) Program
The Administration for Children and Families is issuing final regulations to implement key tribal provisions of the new welfare block grant program enacted in 1996--the Temporary Assistance for Needy Families, or TANF program and the new tribal work activities program-- the Native Employment Works, or NEW Program. The Personal Responsibility and...
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Office of Inspector General; Medicare Program; Prospective Payment System for Hospital Outpatient Services
This final rule with comment period implements a prospective payment system for hospital outpatient services furnished to Medicare beneficiaries, as set forth in section 1833(t) of the Social Security Act. It also establishes requirements for provider departments and provider-based entities, and it implements section 9343(c) of the Omnibus...
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Health Care Programs: Fraud and Abuse; Revised OIG Civil Money Penalties Resulting From Public Law 104-191
This final rule revises the OIG's civil money penalty (CMP) authorities, in conjunction with new and revised provisions set forth in the Health Insurance Portability and Accountability Act of 1996. Among other provisions, this final rulemaking codifies new CMPs for excluded individuals retaining ownership or control interest in an entity;...
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Medicare and State Health Care Programs: Fraud and Abuse; Civil Money Penalty Safe Harbor To Protect Payment of Medicare Supplemental Insurance and Medigap Premiums for ESRD Beneficiaries
In accordance with section 5201 of the Omnibus Consolidated and Emergency Supplemental Appropriations Act for Fiscal Year 1999, this proposed rule would set forth in the OIG's civil money penalty provisions in 42 CFR part 1003 a new safe harbor for unlawful inducements to beneficiaries to provide protection for independent dialysis facilities...
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Health Care Programs: Fraud and Abuse; Revised OIG Civil Money Penalties Resulting From Public Law 104-191
This document contains several corrections to the final regulations which were published in the Federal Register on Wednesday, April 26, 2000 (65 FR 24400). These regulations revised the OIG's civil money penalty (CMP) authorities in conjunction with new or revised provisions set forth in the Health Insurance Portability and Accountability Act...
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Medicare Program; Medicare+Choice Program
This final rule with comment period responds to comments on the June 26, 1998 interim final rule that implemented the Medicare+Choice (M+C) program and makes revisions to those regulations where warranted. We also are making revisions to the regulations that are necessary to reflect the changes to the M+C program resulting from the Balanced...
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Medicaid Program; Home and Community-Based Services
This final rule with comment period expands State flexibility in providing prevocational, educational, and supported employment services under the Medicaid home and community-based services waiver provisions currently found in section 1915(c) of the Social Security Act (the Act); and incorporates the self-implementing provisions of section 4743...
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Medicare and State Health Care Programs: Fraud and Abuse; Revisions and Technical Corrections
This proposed rule sets forth several revisions and technical corrections to the OIG regulations. This rule proposes revisions or clarifications to the definition of the term ``item or service'', to the reinstatement procedures relating to exclusions resulting from a default on health education or scholarship obligations, and to the limitations...
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Health Care Fraud and Abuse Data Collection Program: Reporting of Final Adverse Actions; Correction
This document contains a correction to the final regulations which were published in the Federal Register on October 26, 1999 (64 FR 57740). These regulations established a national health care fraud and abuse data collection program for the reporting and disclosing of certain adverse actions taken against health care providers, suppliers and...
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Bonus to Reward States for High Performance Under the TANF Program and Data Collection and Reporting Requirements for States and Indian Tribes Under Welfare-to-Work Grants
This document contains three actions. First, we are correcting two words in the high performance bonus final regulations, published August 30, 2000. Second, we are revising or updating two statements in the preamble to these regulations for clarity. Third, we are removing from the Code of Federal Regulations the interim final regulations on...
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Medicare Program; Requirements for the Recredentialing of Medicare+Choice Organization Providers
This proposed rule would change the requirement of recredentialing providers, who are physicians or other health care professionals, for Medicare+Choice Organizations (M+COs) from at least every 2 years to at least every 3 years. This change is consistent with managed care industry recognized standards of practice and quality, and with standards...
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Child Support Enforcement Program; Incentive Payments, Audit Penalties
This final rule implements the statutory requirement of the Social Security Act that requires the Secretary of Health and Human Services to establish the new performance-based incentive system. It also implements a performance-based penalty system and establishes standards for certain types of audits. Finally, this rule includes a requirement...
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Medicare Program; Expanded Coverage for Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements
This final rule implements section 4105 of the Balanced Budget Act of 1997 (BBA) by expanding Medicare coverage for outpatient diabetes self-management training and establishes outcome measurements for evaluating the improvement of the health status of Medicare beneficiaries with diabetes. These services include education and training furnished...
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Medicaid Program; Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities Providing Psychiatric Services to Individuals Under Age 21
This interim final rule with comment period establishes a definition of a ``psychiatric residential treatment facility'' that is not a hospital and that may furnish covered Medicaid inpatient psychiatric services for individuals under age 21. This rule also sets forth a Condition of Participation (CoP) that psychiatric residential treatment...
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Medicare Program; Improvements to the Medicare+Choice Appeal and Grievance Procedures
This proposed rule sets forth several improvements to the Medicare+Choice (M+C) appeal and grievance procedures. Most notably, this proposed rule would ensure that M+C enrollees receive written notice, including information about appeal rights, at least 4 calendar days before the proposed termination date of provider services; and establish a...
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Medicaid Program; Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities Providing Inpatient Psychiatric Services to Individuals Under Age 21
On January 22, 2001, we published an interim final rule with comment period (66 FR 7148) that established a definition of a ``psychiatric residential treatment facility'' that is not a hospital and that may furnish covered Medicaid inpatient psychiatric services for individuals under age 21. The interim final rule established standards for the...
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Medicare Program; Requirements for the Recredentialing of Medicare+Choice Organization Providers
This final rule changes the requirement for recredentialing providers who are physicians or other health care professionals for Medicare+Choice Organizations (M+COs) from at least every 2 years to at least every 3 years. This change is consistent with managed care industry recognized standards of practice and quality, and with standards already...
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Medicare Program; Civil Money Penalties, Assessments, and Revised Sanction Authorities
This final rule with comment period is a technical rule that updates our civil money penalty (CMP) regulations to add CMP authorities already enacted as part of the Balanced Budget Act of 1997 (BBA) and delegated to us. The rule delineates our authority to assess penalties for: failure to bill outpatient therapy services or comprehensive...
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Tribal Self-Governance Amendments of 2000
The Secretary of the Department of Health and Human Services (DHHS) proposes this rule to implement Title V of the Tribal Self- Governance Amendments of 2000 (the Act). The proposed rule has been negotiated among representatives of Self-Governance and non-Self- Governance Tribes and the DHHS. The proposed rule includes provisions governing how...
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Medicare and Federal Health Care Programs: Fraud and Abuse; Revisions and Technical Corrections
This final rule sets forth several revisions and technical corrections to the OIG regulations pertaining to fraud and abuse in Federal health care programs. This rule contains revisions and clarifications with respect to the definition of the term ``item or service,'' the reinstatement procedures relating to exclusions resulting from a default...