Which legislation mandates compliance programs for Medicare, Medicaid, and CHIP providers?

Study for the HCCA Certified in Healthcare Compliance (CHC) Exam. Practice with interactive questions and detailed explanations. Get ready to excel in your field!

The Affordable Care Act (ACA) is the legislation that mandates compliance programs for providers participating in Medicare, Medicaid, and the Children's Health Insurance Program (CHIP). Enacted in 2010, the ACA includes provisions specifically aimed at reducing fraud, waste, and abuse in these programs. It emphasizes the necessity for healthcare providers to implement compliance programs that adhere to federal regulations. These compliance programs are designed to promote adherence to legal standards and prevent violations, thereby protecting both the integrity of healthcare programs and patient interests.

The other options pertain to different aspects of healthcare legislation but do not specifically mandate compliance programs for Medicare, Medicaid, and CHIP providers. For instance, the Social Security Act primarily governs the establishment and administration of Social Security benefits, including the Medicaid program, but does not stipulate compliance program requirements. HIPAA focuses on the privacy and security of health information rather than compliance with payment or billing processes. The Patient Protection Act is not a widely recognized piece of legislation and does not impose compliance program requirements related to federal healthcare programs.

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