# Medicare and Medicaid Programs; Changes in Provider and Supplier Enrollment, Ordering and Referring, and Documentation Requirements; and Changes in Provider Agreements
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2012-04-27 · Effective 2012-06-26 · 77 FR 25284
## Document
- **Document number:** 2012-9994
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 77 FR 25284
- **CFR reference:** 42 CFR 424
- **Publication date:** 2012-04-27
- **Effective date:** 2012-06-26
- **HHS docket:** CMS-6010-F
## Abstract

This final rule finalizes several provisions of the Affordable Care Act implemented in the May 5, 2010 interim final rule with comment period. It requires all providers of medical or other items or services and suppliers that qualify for a National Provider Identifier (NPI) to include their NPI on all applications to enroll in the Medicare and Medicaid programs and on all claims for payment submitted under the Medicare and Medicaid programs. In addition, it requires physicians and other professionals who are permitted to order and certify covered items and services for Medicare beneficiaries to be enrolled in Medicare. Finally, it mandates document retention and provision requirements on providers and supplier that order and certify items and services for Medicare beneficiaries.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2012/04/27/2012-9994/medicare-and-medicaid-programs-changes-in-provider-and-supplier-enrollment-ordering-and-referring)
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