Administrative Simplification: Adoption of Operating Rules for Eligibility for a Health Plan and Health Care Claim Status Transactions

Docket ID: CMS-2011-0128
Agency: Centers for Medicare Medicaid Services (CMS)
Parent Agency: Department of Health and Human Services (HHS)
This rule implements provisions of the Affordable Care Act of 2010 under Administrative Simplification that require the adoption of authoring organizations for operating rules and the adoption of operating rules for eligibility and claims status, and to consider those operating rules developed by a qualified nonprofit entity that meets specific criteria.
RIN: 0938-AQ12
Impacts and Effects: Small Entities (Organizations)
CFR Citation: 45 CFR 160,45 CFR 162
Priority: Economically Significant
UA and Regulatory Plan Information open glossary dialog  
Publication Period: Fall 2011
Agenda Stage of Rulemaking: Completed Action
Major Rule: Yes
Legal Authorities: PL 111-148, sec 1104
Government Levels Affected: Federal
Federalism Implications: No
Unfunded Mandates: Private Sector
Requires Regulatory Flexibility Analysis: Undetermined
Small Entities Affected: Organizations
International Impacts: No
Energy Effects: No
Included in Regulatory Plan: No
Legal Deadline
ActionDateFR Citation
Interim Final Rule07/08/201176 FR 40458
Interim Final Rule Comment Period End09/06/2011
Docket Details open glossary dialog  
Related RINs: None
Related Dockets: None
Type: Rulemaking

Primary Documents

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Comment Period Closed
Sep 06, 2011 11:59 PM ET
Posted: 07/08/2011
ID: CMS-2011-0128-0002

Supporting Documents

No documents available.


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Comments Received*
Regulatory Timeline
Pre Rule
Current Stage
Proposed Rule
Current Stage
Final Rule
Current Stage
Current Stage
Agency Contact
Lorraine Doo
Deputy Director, Office of E-Health Systems and Services
Mail Stop S2-26-17 7500 Security Boulevard
Baltimore, MD 21244
*This count refers to the total comment/submissions received on this docket, as of 11:59 PM yesterday. Note: Agencies review all submissions, however some agencies may choose to redact, or withhold, certain submissions (or portions thereof) such as those containing private or proprietary information, inappropriate language, or duplicate/near duplicate examples of a mass-mail campaign. This can result in discrepancies between this count and those displayed when conducting searches on the Public Submission document type. For specific information about an agency’s public submission policy, refer to its website or the Federal Register document.