On May 5, 2010, the Centers for Medicare & Medicaid Services (CMS) published an interim final rule (IFR) with comment period, implementing certain portions of the Medicare and Medicaid program integrity provisions included in the Patient Protection and Affordable Care Act (PPACA).1 The IFR is effective July 6, 2010, but interested parties still may submit comments to CMS no later than 5 p.m. on July 6.