Tag Archives: health reform’s enforcement

HEALTH REFORM: New Regulations Implement Health Reform’s Enforcement Tools: Providers and Suppliers in Focus

On February 2, 2011, the Centers for Medicare and Medicaid Services (“CMS”) published new rules (“Final Rule”)[1] authorized by the Affordable Care Act (“ACA”)[2] creating a vigorous screening process for new and existing Medicare, Medicaid and the Children’s Health Insurance Program (“CHIP”) providers and suppliers; giving CMS authority to temporarily stop enrollment of new providers and suppliers; expanding the ability of CMS and States to temporarily suspend payments to providers and suppliers; establishing requirements for States to terminate providers from the Medicaid and CHIP programs; and adding several other enrollment-related provisions. Generally, the new rules are effective¬†March 25, 2011.

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