Fed Regist. 1996 Jul 24;61(143):38395-9.
This final rule removes several obsolete sections of the Medicaid regulations that specify rules and procedures for disallowing Federal financial participation for erroneous medical assistance payments due to eligibility and beneficiary liability errors as detected through the Medicaid eligibility quality control program for assessment periods from 1980 through June 1990. The Medicaid regulations that contain the rules and procedures for the progressive reductions in Federal financial participation in medical assistance expenditures made to the States for fiscal years 1982 through 1984 are removed to reflect the repeal of the statutory bases for the reductions. The Medicaid regulations that provide for physician billing for clinical laboratory services that a physician bills or pays for but did not personally perform or supervise are removed to reflect the statutory repeal of this provision. In addition, the rule removes obsolete regulations that prescribe requirements concerning utilization control of Medicaid services furnished in skilled nursing facilities. This rule is part of the Department's initiate to reinvent health care regulations and eliminate obsolete requirements.
本最终规则删除了医疗补助法规中的几个过时部分,这些部分规定了在1980年至1990年6月的评估期内,通过医疗补助资格质量控制计划发现因资格和受益方责任错误而导致的错误医疗补助支付时,不允许联邦财政参与的规则和程序。包含1982年至1984年财政年度向各州提供的医疗补助支出中联邦财政参与逐步减少的规则和程序的医疗补助法规被删除,以反映这些减少的法定依据已被废除。规定医生为临床实验室服务计费的医疗补助法规被删除,这些服务由医生计费或支付,但医生本人未亲自执行或监督,以反映该条款的法定废除。此外,该规则还删除了规定有关在熟练护理设施中提供的医疗补助服务利用控制要求的过时法规。本规则是该部门重塑医疗保健法规并消除过时要求举措的一部分。