# Medicare and Medicaid Programs; Waiver of Disapproval of Nurse Aide Training Program in Certain Cases
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2010-04-23 · Effective 2010-05-24 · 75 FR 21175
## Document
- **Document number:** 2010-8902
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 75 FR 21175
- **CFR reference:** 42 CFR 483
- **Publication date:** 2010-04-23
- **Effective date:** 2010-05-24
- **HHS docket:** CMS-2266-F
## Abstract

This final rule will permit a waiver of a nurse aide training disapproval as it applies to skilled nursing facilities, in the Medicare program, and nursing facilities, in the Medicaid program, that are assessed a civil money penalty of at least $5,000 for noncompliance that is not related to quality of care. This is a statutory provision enacted by section 932 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) (Pub. L. 108-173, enacted December 8, 2003).

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2010/04/23/2010-8902/medicare-and-medicaid-programs-waiver-of-disapproval-of-nurse-aide-training-program-in-certain-cases)
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