Page:United States Statutes at Large Volume 124.djvu/775

 124 STAT. 749 PUBLIC LAW 111–148—MAR. 23, 2010 waive the application fee under this subparagraph for providers enrolled in a State Medicaid program for whom the State demonstrates that imposition of the fee would impede beneficiary access to care. ‘‘(iv) USE OF FUNDS.—Amounts collected as a result of the imposition of a fee under this subparagraph shall be used by the Secretary for program integrity efforts, including to cover the costs of conducting screening under this paragraph and to carry out this subsection and section 1128J. ‘‘(D) APPLICATION AND ENFORCEMENT.— ‘‘(i) NEW PROVIDERS OF SERVICES AND SUPPLIERS.— The screening under this paragraph shall apply, in the case of a provider of medical or other items or services or supplier who is not enrolled in the program under this title, title XIX, or title XXI as of the date of enactment of this paragraph, on or after the date that is 1 year after such date of enactment. ‘‘(ii) CURRENT PROVIDERS OF SERVICES AND SUP- PLIERS.—The screening under this paragraph shall apply, in the case of a provider of medical or other items or services or supplier who is enrolled in the program under this title, title XIX, or title XXI as of such date of enactment, on or after the date that is 2 years after such date of enactment. ‘‘(iii) REVALIDATION OF ENROLLMENT.—Ef fective beginning on the date that is 180 days after such date of enactment, the screening under this paragraph shall apply with respect to the revalidation of enroll- ment of a provider of medical or other items or services or supplier in the program under this title, title XIX, or title XXI. ‘‘(iv) LIMITATION ON ENROLLMENT AND REVALIDA- TION OF ENROLLMENT.—In no case may a provider of medical or other items or services or supplier who has not been screened under this paragraph be initially enrolled or reenrolled in the program under this title, title XIX, or title XXI on or after the date that is 3 years after such date of enactment. ‘‘(E) EXPEDITED RULEMAKING.—The Secretary may promulgate an interim final rule to carry out this para- graph. ‘‘(3) PROVISIONAL PERIOD OF ENHANCED OVERSIGHT FOR NEW PROVIDERS OF SERVICES AND SUPPLIERS.— ‘‘(A) IN GENERAL.—The Secretary shall establish proce- dures to provide for a provisional period of not less than 30 days and not more than 1 year during which new providers of medical or other items or services and sup- pliers, as the Secretary determines appropriate, including categories of providers or suppliers, would be subject to enhanced oversight, such as prepayment review and pay- ment caps, under the program under this title, the Medicaid program under title XIX. and the CHIP program under title XXI. ‘‘(B) IMPLEMENTATION.—The Secretary may establish by program instruction or otherwise the procedures under this paragraph. Procedures. Effective date.