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States' Compliance with FFS and MCO Provider Enrollment Requirements

Provider enrollment is a key program integrity tool to protect Medicaid from fraudulent and abusive providers. The 21st Century Cures Act (the Cures Act) requires States to enroll all Medicaid providers, both those in Medicaid fee-for-service (FFS) and managed care organizations (MCOs). This study, mandated by the Cures Act, will survey State Medicaid agencies about their enrollment of FFS and managed care providers and implementation of required provider enrollment screening activities.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
December 2018 Centers for Medicare & Medicaid Services States' Compliance with FFS and MCO Provider Enrollment Requirements Office of Evaluation and Inspections OEI-05-19-00060 2019