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United States · Bill · HR

H.R. 3716 (114th)

Ensuring Access to Quality Medicaid Providers Act

referredUnited States· United States Congress· EN

Introduced

8 October 2015

Last action

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Status

Received in the Senate and Read twice and referred to the Committee on Finance.

Sponsors

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Subjects

Discovery layer

Source updated

7 April 2025

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Summary

Ensuring Terminated Providers are Removed from Medicaid and CHIP Act This bill amends titles XIX (Medicaid) and XXI (Children's Health Insurance Program [CHIP]) of the Social Security Act to prohibit federal payment under Medicaid for nonemergency services furnished by providers whose participation in Medicaid, Medicare, or CHIP has been terminated. Under current law, a state must exclude from Medicaid participation any provider that has been terminated under any state's Medicaid program or under Medicare. The bill maintains those requirements and further requires a state to exclude from Medicaid participation any provider that has been terminated under CHIP. Furthermore, a state must exclude from CHIP participation any provider that has been terminated under Medicaid or Medicare. The bill also revises a state's reporting requirements with respect to terminating a provider under a state plan. A state shall require each Medicaid or CHIP provider, whether the provider participates on a fee-for-service basis or within the network of a managed care organization (MCO), to enroll with the state by providing specified identifying information. When notifying the Department of Health and Human Services (HHS) that a provider has been terminated under a state plan, the state must submit this information as well as information regarding the termination date and reason. HHS shall include such termination notifications in a database or similar system, as specified by the bill. A state must have a system for notifying MCOs when a provider is terminated under Medicaid, Medicare, or CHIP. A contract between the state plan and an MCO must provide that such providers be excluded from participation in the MCO provider network.

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Documents

11 official files

Referred in Senate (text)

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