3 CONFORMING AMENDMENTSection 1902a23 of the Social Security Act 42 USC 1396a

3 conforming amendmentsection 1902a23 of the social

This preview shows page 655 - 657 out of 907 pages.

Info icon Subscribe to view the full document.

You've reached the end of your free preview.

Want to read all 907 pages?

Unformatted text preview: (3) CONFORMING AMENDMENT.—Section 1902(a)(23) of the Social Security Act (42 U.S.C. 1396a), is amended by inserting VerDate Nov 24 2008 18:12 Apr 23, 2010 Jkt 000000 PO 00000 Frm 00655 Fmt 6655 Sfmt 6501 C:\TEMP\PPACA-CONSOLIDATED_003.XML HOLCPC April 23, 2010 (6:12 p.m.) F:\P11\NHI\COMP\PPACA-CONSOLIDATED_003.XML f:\VHLC\042310\042310.200.xml (466008|3) Ppaca & Hcera; Public Laws 111-148 & 111-152: Consolidated Print—656 before the semicolon at the end the following: ‘‘or by a provider or supplier to which a moratorium under subsection (ii)(4) is applied during the period of such moratorium’’. (c) CHIP.—Section 2107(e)(1) of the Social Security Act (42 U.S.C. 1397gg(e)(1)), as amended by section 2101(d), is amended— (1) by redesignating subparagraphs (D) through (M) as subparagraphs (E) through (N), respectively; and (2) by inserting after subparagraph (C), the following: ‘‘(D) Subsections (a)(77) and (ii) of section 1902 (relating to provider and supplier screening, oversight, and reporting requirements).’’. SEC. 6402. ENHANCED MEDICARE AND MEDICAID PROGRAM INTEG-RITY PROVISIONS. (a) IN GENERAL.—Part A of title XI of the Social Security Act (42 U.S.C. 1301 et seq.), as amended by sections 6002, 6004, and 6102, is amended by inserting after section 1128I the following new section: ‘‘SEC. 1128J. MEDICARE AND MEDICAID PROGRAM INTEGRITY PROVI-SIONS. ‘‘(a) DATA MATCHING.— ‘‘(1) INTEGRATED DATA REPOSITORY.— ‘‘(A) INCLUSION OF CERTAIN DATA.— ‘‘(i) IN GENERAL.—The Integrated Data Repository of the Centers for Medicare & Medicaid Services shall include, at a minimum, claims and payment data from the following: ‘‘(I) The programs under titles XVIII and XIX (including parts A, B, C, and D of title XVIII). ‘‘(II) The program under title XXI. ‘‘(III) Health-related programs administered by the Secretary of Veterans Affairs. ‘‘(IV) Health-related programs administered by the Secretary of Defense. ‘‘(V) The program of old-age, survivors, and disability insurance benefits established under title II. ‘‘(VI) The Indian Health Service and the Con-tract Health Service program. ‘‘(ii) PRIORITY FOR INCLUSION OF CERTAIN DATA.— Inclusion of the data described in subclause (I) of such clause in the Integrated Data Repository shall be a priority. Data described in subclauses (II) through (VI) of such clause shall be included in the Integrated Data Repository as appropriate. ‘‘(B) DATA SHARING AND MATCHING.— ‘‘(i) IN GENERAL.—The Secretary shall enter into agreements with the individuals described in clause (ii) under which such individuals share and match data in the system of records of the respective agencies of such individuals with data in the system of records of the Department of Health and Human Services for the purpose of identifying potential fraud, waste, and abuse under the programs under titles XVIII and XIX....
View Full Document

  • Spring '09
  • singh
  • Sec.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture