Amended by section 10603 of the Senate Manager’s Amendment and section 1304 of HCERA. Directs the Secretary of HHS to, not later than September 23, 2010, establish procedures for
conducting provider and supplier screenings (according to the risk of fraud, waste, and abuse for each provider/supplier category) under Medicare, Medicaid, and CHIP. Such screening is to include a licensure check, and as determined by the Secretary, potentially other screening mechanisms. Subject to certain exceptions, imposes a fee of $500 in 2010 (adjusted thereafter based on the CPI-U) on institutional providers and suppliers for such screening (but not to individual physicians). Specifies certain requirements relative to the application of the screening to new and current providers and suppliers. Calls for a provisional period of enhanced oversight for new providers and suppliers, including a temporary moratorium on enrollment of new providers and suppliers if the Secretary determines it appropriate to prevent or combat fraud, waste, or abuse. Authorizes the Secretary of HHS to impose a 90-day period of enhanced oversight of initial claims of DME suppliers. Sets forth increased disclosure requirements such that any new or revalidating providers
or suppliers must disclose any current or previous affiliation (directly or indirectly) with a provider or supplier that has uncollected debt, has been or is subject to a payment suspension under a federal health care program, or has had its billing privileges denied or revoked. Calls for the establishment of compliance programs that contain certain core elements for providers or suppliers.