Medicaid Provider Screening Accountability Act
Medicaid Provider Screening Accountability Act
Plain Language Summary
# Medicaid Provider Screening Accountability Act Summary **What the Bill Would Do:** This bill would require state Medicaid programs to screen healthcare providers more thoroughly when they apply to join or renew their participation in Medicaid. Specifically, states would need to check federal databases to see if providers were previously kicked out of Medicare, other state Medicaid programs, or the Children's Health Insurance Program (CHIP).
After providers are approved, states would have to continue checking these databases at least once a month to catch any new terminations. **Who It Affects:** This bill primarily affects healthcare providers (doctors, hospitals, clinics, etc.) who want to participate in Medicaid, as well as state Medicaid programs that administer these benefits. Indirectly, it could affect Medicaid patients by potentially reducing fraud and preventing problematic providers from treating them. **Current Status:** The bill was introduced by Representative Nicholas Langworthy (R-NY) in the 119th Congress and is currently in committee, meaning it has not yet been voted on by the full House of Representatives.
CRS Official Summary
Medicaid Provider Screening Accountability ActThis bill requires state Medicaid programs to check, as part of the provider enrollment and reenrollment process, whether providers were terminated from participating in the Medicare program, any other state Medicaid program, or the Children's Health Insurance Program (CHIP) using certain databases (e.g., the Data EXchange system). The bill requires states to continue to check these databases on at least a monthly basis after providers are enrolled.
Latest Action
Referred to the House Committee on Energy and Commerce.