American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Program Integrity

The Affordable Care Act (ACA) made several changes and created several mandates with the intention of protecting the integrity of Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) and preventing waste, fraud, and abuse. Among other issues, the ACA addressed provider screening, application fees, and temporary moratoria on enrollment under Medicare, Medicaid, and CHIP. The Centers for Medicare & Medicaid Services (CMS) implemented these changes via notice and comment rulemaking. The American College of Surgeons (ACS) prepared a joint comment letter for submission to CMS in response to the CMS Medicaid Integrity Program proposed rule, and 13 surgical specialty societies signed on to this letter.

CMS Program Integrity Rules