Medicaid Provider Screening Accountability Act

HR 1875, the Medicaid Provider Screening Accountability Act, requires states to conduct monthly checks starting January 1, 2028, to verify if Medicaid providers or suppliers are still eligible to participate. It directly affects all healthcare providers and suppliers enrolled in Medicaid, including those seeking initial enrollment, renewal, or revalidation. The key provision mandates states to check federal and state databases (created under the Affordable Care Act) to confirm no termination of participation has occurred by the federal government or other states. This ensures providers remain compliant with federal and state participation rules throughout their enrollment period. The bill focuses on operational screening, not on reducing fraud or improving care outcomes.