# Medicare, Medicaid, and Children's Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process
> **Centers for Medicare and Medicaid Services** · Final rule with comment period. · Published 2019-09-10 · Effective 2019-11-04 · 84 FR 47794
## Document
- **Document number:** 2019-19208
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 84 FR 47794
- **CFR reference:** 42 CFR 405
- **Publication date:** 2019-09-10
- **Effective date:** 2019-11-04
- **HHS docket:** CMS-6058-FC
## Abstract

This final rule with comment period implements statutory provisions that require Medicare, Medicaid, and Children's Health Insurance Program (CHIP) providers and suppliers to disclose certain current and previous affiliations with other providers and suppliers. In addition, it provides the agency with additional authority to deny or revoke a provider's or supplier's Medicare enrollment in certain specified circumstances. The provisions we are finalizing in this rule are necessary to address various program integrity issues and vulnerabilities by enabling CMS to take action against unqualified and potentially fraudulent entities and individuals, which in turn could deter other parties from engaging in improper behavior.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2019/09/10/2019-19208/medicare-medicaid-and-childrens-health-insurance-programs-program-integrity-enhancements-to-the)
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