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RuleSignificant2026-120692026-06-16

Medicare Program; Strengthening Oversight of Accrediting Organizations (AOs) and Preventing AO Conflicts of Interest, and Related Provisions

Health and Human Services Department, Centers for Medicare & Medicaid Services

Abstract

This final rule with comment period sets forth provisions to strengthen the oversight of Medicare national accrediting organizations by addressing conflicts of interest, establishing consistent standards, processes, and definitions, and updating the validation and performance standards systems. Additionally, this final rule with comment period revises the psychiatric hospital survey process, adds a limitation on terminated deemed providers and suppliers when reentering the program, and provides technical corrections for End-Stage Renal Disease facilities and Transplant Programs.

Action & Dates

Action
Final rule with comment period.
Dates
Effective date: These regulations are effective on June 16, 2027.
Effective Date
2027-06-16

CFR References

Topics

Administrative practice and procedureHealth facilitiesMedicareReporting and recordkeeping requirements

Public Comment

Document Excerpt

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Health and Human Services Centers for Medicare & Medicaid Services 42 CFR Parts 488 and 489 [CMS-3367-FC] RIN 0938-AU88 ( printed page 36370) AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). ACTION: Final rule with comment period. SUMMARY: This final rule with comment period sets forth provisions to strengthen the oversight of Medicare national accrediting organizations by addressing conflicts of interest, establishing consistent standards, processes, and definitions, and updating the validation and performance standards systems. Additionally, this final rule with comment period revises the psychiatric hospital survey process, adds a limitation on terminated deemed providers and suppliers when reentering the program, and provides technical corrections for End-Stage Renal Disease facilities and Transplant Programs. DATES: Effective date: These regulations are effective on June 16, 2027. Comment date: To be assured consideration, comments on sections VI., “Collection of Information” and VII., “Regulatory Impact Analysis” must be received at one of the addresses provided below, by August 17, 2026. ADDRESSES: In commenting, please refer to file code CMS-3367-FC. Comments, including mass comment submissions, must be submitted in one of the following three ways (please choose only one of the ways listed): 1. Electronically. You may submit electronic comments on this regulation to htt

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Full Document

Citation: 91 FR 36370