S-752 : Still Just a Bill

Summary of S. 752, Accelerating Kids' Access to Care Act:

This bill aims to streamline the enrollment process for out-of-state healthcare providers under Medicaid and the Children's Health Insurance Program (CHIP), to improve access to care for children. Key provisions include:

• Streamlined Enrollment: States must implement a process to allow eligible out-of-state providers to enroll in their Medicaid programs with minimal screening requirements, primarily focusing on verifying the provider's identity and National Provider Identifier.
• Eligibility Criteria for Providers: To be eligible, out-of-state providers must:
  • Be located in another state.
  • Have been determined to have a limited risk of fraud, waste, and abuse, and have been screened under Medicare or another state's Medicaid program.
  • Not be excluded from any federal or state healthcare programs.
• Enrollment Period: Once enrolled, eligible out-of-state providers will remain enrolled for a 5-year period, unless terminated or excluded during that time.
• Qualifying Individuals: The streamlined enrollment process applies to services for individuals under 21 years of age enrolled in Medicaid or CHIP.

The changes introduced by this bill will take effect three years after the date of enactment.