The Centers for Medicare & Medicaid Services (CMS) published a final rule on May 29, 2012 that makes changes to Medicaid regulations regarding overpayments recoveries, state repayment of Medicaid disallowances, and other various policies. Among other things, the rule implements an Affordable Care Act (ACA) provision increasing the period of time states have to collect provider overpayments before they are required to return the federal portion of the funds. Under the rule, states will have up to one year from the date of discovery of an overpayment made to a Medicaid provider to recover or attempt to recover the overpayment before federal funds must be returned. The rule also expands repayment schedule options for states to repay federal funds, revises the federal financial participation disallowance process, makes a technical correction to reporting requirements for disproportionate share hospital payments, removes obsolete language, and corrects other technical errors. The rule is effective June 28, 2012.