Medicare and Medicaid Fraud Prevention Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
This bill updates Medicaid rules to help prevent fraud by requiring states to regularly check if healthcare providers are deceased. Specifically, states must verify a provider’s status in the Social Security Administration’s Death Master File before enrolling or renewing enrollment. This check needs to occur at least quarterly, starting in 2027. The goal is to ensure that deceased providers are not providing services through Medicaid.
Key provisions
- States must check the Death Master File for deceased providers.
- The check must occur as part of provider enrollment and revalidation.
- The frequency of the check is at least quarterly.
- The requirement begins January 1, 2027.
Who is affected
- State Medicaid programs
- Healthcare providers enrolled in Medicaid
- The Social Security Administration
Notable changes
- Adds a requirement for regular death verification checks for Medicaid providers.
Bill text
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Sponsors
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8 on record
Primary sponsor
Cosponsors
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