Over 65,000 ineligible providers have been culled from the Medicaid program due to a component of the Affordable Care Act that requires periodic recertification of eligibility, according to Modern Healthcare. The measure, which was meant to prevent fraud and inefficiency, called for providers that enrolled in Medicaid before March 2011 to send “revalidation notices” to CMS to prove their eligibility for reimbursement. Failure to submit a notice by September 25, 2016, meant the provider could be scrubbed from the state Medicaid rolls. Some common reasons for ineligibility were that they were no longer located in that state, they only enrolled a single patient, or they quit the program. Many of those who left voluntarily said that low reimbursement rates contributed to that decision, the Modern Healthcare article reported. –
Source: ACA Fraud Protection Rule Slashes Thousands of Ineligible Providers From Medicaid AJMC.COM
Without providers there is not business for third parties.
MCO got in the picture beginning of 2012 . What a coincidence.
The real issue begun before 2011 when the Medicaid remuneration to providers increased and more provides got in the picture making the budget shake. Then persecution for providers begin .
The mess does not include the dishonest fraudulent providers. Of course ,There are few that should be kick out by the same cow ,because they are trying to milk wrongly by default
Still Medicaid is socialism act and the affordable care act is that. USA is all about capitalism .Tax moneys are going to go to another pocket regardless Medicaid . People will be pay the same taxes regardless Medicaid.
Providers right of practice wrong name fee for services is not other than our dental license . Why giving away our earned right ?. .