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e-CFR data is current as of May 13, 2021

Title 42Chapter IVSubchapter CPart 455Subpart E → §455.410


Title 42: Public Health
PART 455—PROGRAM INTEGRITY: MEDICAID
Subpart E—Provider Screening and Enrollment


§455.410   Enrollment and screening of providers.

(a) The State Medicaid agency must require all enrolled providers to be screened under to this subpart.

(b) The State Medicaid agency must require all ordering or referring physicians or other professionals providing services under the State plan or under a waiver of the plan to be enrolled as participating providers.

(c) The State Medicaid agency may rely on the results of the provider screening performed by any of the following:

(1) Medicare contractors.

(2) Medicaid agencies or Children's Health Insurance Programs of other States.

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