Affordable Care Act - Provider Screening Requirements

The Centers for Medicare and Medicaid Services published a Final Rule on February 2, 2011, in the Federal Register (42 CFR Parts 405, 424, 447 et al.) with provisions to be implemented as they relate to Medicare, Medicaid and Children’s Health Insurance Programs (CHIP) for provider screening and prevention of provider fraud and abuse.  This Rule implemented provisions of the Patient Protection and Affordable Care Act (ACA). What follows on this webpage are various documents related to the implementation of the new Federal provider screening and enrollment requirements as they pertain to Medi-Cal providers.

Providers and stakeholders who would like to provide input to DHCS about the new provider screening requirements of the Affordable Care Act and the February 2, 2011, Federal Final Rule are encouraged to contact PED via email at PEDACA@dhcs.ca.gov.  When sending your email, please include one of the following in the subject line: Temporary Moratoria, Enrollment of Ordering and Referring Providers, Application Fees, Provider Screening Levels, and/or Background Checks/Fingerprinting.  PED appreciates your input as we work towards compliance with these new Federal regulations.