Bill > HR2309

This bill amends the Social Security Act to enhance Medicaid provider screening requirements by mandating that states perform additional checks on providers' status. Specifically, beginning January 1, 2027, states will be required to check the Death Master File (a comprehensive database of deceased individuals) not only during initial provider enrollment or revalidation, but also at least quarterly while the provider remains enrolled. The purpose of this requirement is to prevent fraudulent billing by quickly identifying and removing deceased providers from Medicaid's active provider rolls. The bill is part of broader efforts to reduce Medicare and Medicaid fraud, as suggested by its full title, the "Medicare and Medicaid Fraud Prevention Act". By requiring regular cross-referencing with the Death Master File, the bill aims to improve program integrity and reduce improper payments that could occur when deceased providers remain in the system.

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https://www.congress.gov/bill/119th-congress/house-bill/2309/all-info