Provider termination and exclusion list

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The Affordable Care Act requires that all ordering physicians or other professionals who prescribe, order, or refer services to Medicaid or provide services under the State Plan or under a waiver of the plan to be enrolled as participating providers (see 42 CFR 455.410(b)).  Therefore, any non-enrolled provider, including any provider who is terminated from the Medicaid Program, for any reason, is not permitted to provide services to Medicaid recipients.
Source: wa.gov

Related posts:

  1. OIG Exclusion List Updated : New Jersey Healthcare Blog
  2. Have You Received a Notice of Termination of Your Medicare Provider Number?
  3. Have You Received a Notice of Termination of Your Medicare Provider Number?
  4. AHCA Submits Comments on Guidance Relating to Medicaid/Medicare Exclusion List
  5. OIG Exclusion List: What it Means, What You Should Do

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