# Medicare and Medicaid Programs: Revisions to Deeming Authority Survey, Certification, and Enforcement Procedures
> **Centers for Medicare and Medicaid Services** · Final rule. · Published 2015-05-22 · Effective 2015-07-21 · 80 FR 29796
## Document
- **Document number:** 2015-12087
- **Category:** fda-tobacco
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 80 FR 29796
- **CFR reference:** 42 CFR 401
- **Publication date:** 2015-05-22
- **Effective date:** 2015-07-21
- **HHS docket:** CMS-3255-F
## Abstract

This final rule revises the survey, certification, and enforcement procedures related to CMS oversight of national accrediting organizations (AOs). The revisions implement certain provisions under the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). The revisions also clarify and strengthen our oversight of AOs that apply for, and are granted, recognition and approval of an accreditation program in accordance with the statute. The rule also extends some provisions, which are applicable to Medicare-participating providers, to Medicare-participating suppliers subject to certification requirements, and clarifies the definition of "immediate jeopardy."

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2015/05/22/2015-12087/medicare-and-medicaid-programs-revisions-to-deeming-authority-survey-certification-and-enforcement)
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