42 CFR 1007 - STATE MEDICAID FRAUD CONTROL UNITS | LII / Legal Information Institute

Authority: 42 U.S.C. 1396b(a)(6), 1396b(b)(3) and 1396b(q).

Source: 57 FR 3355, Jan. 29, 1992, unless otherwise noted.

Title 42 published on 2011-10-01

no entries appear in the Federal Register after this date.

This is a list of United States Code sections, Statutes at Large, Public Laws, and Presidential Documents, which provide rulemaking authority for this CFR Part.

This list is taken from the Parallel Table of Authorities and Rules provided by GPO [Government Printing Office].

It is not guaranteed to be accurate or up-to-date, though we do refresh the database weekly. More limitations on accuracy are described at the GPO site.

United States Code

42 USC 1396b - Payment to States

The following are ALL rules, proposed rules, and notices (chronologically) published in the Federal Register relating to 42 CFR 1007

2011-03-17; vol. 76 # 52 - Thursday, March 17, 2011

76 FR 14637 - State Medicaid Fraud Control Units; Data Mining

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2011-6012
RIN
	OIG-1203-P

DEPARTMENT OF HEALTH AND HUMAN SERVICES, Office of Inspector General

Proposed rule.

To ensure consideration, public comments must be delivered to the address provided below no later than 5 p.m. on May 16, 2011.

42 CFR Part 1007

Summary

This proposed rule amends a provision in HHS regulations that prohibits State Medicaid Fraud Control Units (MFCU) from using Federal matching funds to identify fraud through screening and analyzing State Medicaid claims data, known as data mining. To support and modernize MFCU efforts to effectively pursue Medicaid provider fraud, we propose to permit Federal Financial Participation (FFP) in the costs of defined data mining activities under specified conditions. In addition, we propose that MFCUs annually report the costs and results of approved data mining activities to OIG.

2011-02-02; vol. 76 # 22 - Wednesday, February 2, 2011

76 FR 5862 - Medicare, Medicaid, and Children's Health Insurance Programs; Additional Screening Requirements, Application Fees, Temporary Enrollment Moratoria, Payment Suspensions and Compliance Plans for Providers and Suppliers

GPO FDSys XML | Text

Additional Documents

type	regulations.gov
FR Doc.	2011-1686
RIN	0938-AQ20
	CMS-6028-FC

DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services, Office of Inspector General

Final rule with comment period.

Effective date: These regulations are effective on March 25, 2011. Comment date: We will consider public comments only on the Fingerprinting Requirements, contained in §§ 424.518 and 455.434 and discussed in section II.A.5. of the preamble of this document, if we receive them at one of the addresses provided below, no later than 5 p.m. on April 4, 2011.

42 CFR Parts 405, 424, 447, 455, 457, and 498

Summary

This final rule with comment period will implement provisions of the ACA that establish: Procedures under which screening is conducted for providers of medical or other services and suppliers in the Medicare program, providers in the Medicaid program, and providers in the Children's Health Insurance Program (CHIP); an application fee imposed on institutional providers and suppliers; temporary moratoria that may be imposed if necessary to prevent or combat fraud, waste, and abuse under the Medicare and Medicaid programs, and CHIP; guidance for States regarding termination of providers from Medicaid and CHIP if terminated by Medicare or another Medicaid State plan or CHIP; guidance regarding the termination of providers and suppliers from Medicare if terminated by a Medicaid State agency; and requirements for suspension of payments pending credible allegations of fraud in the Medicare and Medicaid programs. This final rule with comment period also discusses our earlier solicitation of comments regarding provisions of the ACA that require providers of medical or other items or services or suppliers within a particular industry sector or category to establish compliance programs. We have identified specific provisions surrounding our implementation of fingerprinting for certain providers and suppliers for which we may make changes if warranted by the public comments received. We expect to publish our response to those comments, including any possible changes to the rule made as a result of them, as soon as possible following the end of the comment period. Furthermore, we clarify that we are finalizing the adoption of fingerprinting pursuant to the terms and conditions set forth herein.

42 CFR 1007 - STATE MEDICAID FRAUD CONTROL UNITS

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