# Medicare Program; Requirements for the Medicare Incentive Reward Program and Provider Enrollment
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2014-12-05 · Effective 2015-02-03 · 79 FR 72500
## Document
- **Document number:** 2014-28505
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 79 FR 72500
- **CFR reference:** 42 CFR 405
- **Publication date:** 2014-12-05
- **Effective date:** 2015-02-03
- **HHS docket:** CMS-6045-F
## Abstract

This final rule implements various provider enrollment requirements. These include: Expanding the instances in which a felony conviction can serve as a basis for denial or revocation of a provider or supplier's enrollment; if certain criteria are met, enabling us to deny enrollment if the enrolling provider, supplier, or owner thereof had an ownership relationship with a previously enrolled provider or supplier that had a Medicare debt; enabling us to revoke Medicare billing privileges if we determine that the provider or supplier has a pattern or practice of submitting claims that fail to meet Medicare requirements; and limiting the ability of ambulance suppliers to "backbill" for services performed prior to enrollment.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2014/12/05/2014-28505/medicare-program-requirements-for-the-medicare-incentive-reward-program-and-provider-enrollment)
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