# Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Interoperability and Patient Access for Medicare Advantage Organizations and Medicaid Managed Care Plans, State Medicaid Agencies, CHIP Agencies and CHIP Managed Care Entities, Issuers of Qualified Health Plans on the Federally-Facilitated Exchanges, and Health Care Providers
> **Centers for Medicare and Medicaid Services** · Notification of enforcement discretion. · Published 2021-12-10 · Effective 2021-12-10 · 86 FR 70412
## Document
- **Document number:** 2021-26764
- **Category:** medicare
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 86 FR 70412
- **CFR reference:** 42 CFR 422
- **Publication date:** 2021-12-10
- **Effective date:** 2021-12-10
- **HHS docket:** CMS-9115-N2
## Abstract

This notification is to inform the public that CMS is exercising its discretion in how it enforces the payer-to-payer data exchange provisions. As a matter of enforcement discretion, CMS does not expect to take action to enforce compliance with these specific provisions until we are able to address certain implementation challenges.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2021/12/10/2021-26764/medicare-and-medicaid-programs-patient-protection-and-affordable-care-act-interoperability-and)
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