Final Stakeholder Meeting Regarding California’s Implementation of CMS 6028 Scheduled

The California Department of Health Care Services (DHCS) will hold its final stakeholder meeting on December 10, 2012 to "inform [stakeholders] about implementation actions that will begin on January 1, 2013, for provider screening and enrollment provisions of the ACA." Paradigm's Policy Center will be in attendance and report back any information as it relates to school-based Medi-Cal...

California LEAs Waiting for Guidance on Medi-Cal Provider Screening and Enrollment

The Provider Enrollment Division (PED) of the California Department of Health Care Services (DHCS) held stakeholder meetings on March 28 and 29 to discuss changes to screening and enrollment requirements for Medi-Cal providers. The department's Safety Net Financing Division (SNFD) was in attendance, as was Paradigm, to highlight the unique needs of the state's school health providers that are...

California Moves Forward with New Medi-Cal Provider Screening and Enrollment Requirements

California’s Department of Health Care Services (DHCS) recently announced a series of stakeholder meetings scheduled for March 2012. These meetings will gather participants’ reactions to the new Medi-Cal provider screening and enrollment requirements and give participants an opportunity to voice their concerns about potential effects that the requirements may have on various provider and...

CMS Releases Bulletin to States Regarding New Medicaid Provider Screening and Enrollment Requirements

CMS has issued a bulletin to states with guidance on new protocols for screening and enrollment of Medicaid and CHIP providers. These requirements are posted in the Federal Register, 42 CFR Part 455 subpart E, and were published on February 2, 2011 following the approval last spring of proposed regulation CMS 6028.   In a recently issued a bulletin addressing Medicaid and CHIP Provider...

42 CFR Parts 405, 424, 447, 455, 457 and 498 (CMS 6028-FC): Medicaid Integrity

A final rule regulating additional screening requirements, application fees, temporary enrollment moratoria, payment suspensions and compliance plans for providers and suppliers participating in the Medicare, Medicaid, and Children's Health Insurance programs. This regulation implements parts of the Affordable Care Act (ACA, 'Health Reform'). Read Final Rule CMS 6028 FC...

2010 Legislative and Regulatory Review

Includes information on federal legislative items (CMS 6028, HR 3590 'Health Reform', HR 1586, and CMS 2361) and state-specific California legislation (AB 3632, and the 1115 Waiver); publication is current at time of release, December 2010. 2010 Legislative Review.pdf