Key compliance updates for provider directories mandated by the Centers for Medicare & Medicaid Services (CMS) must be implemented by July 1, 2025. These updates stem from the Consolidated Appropriations Act (CAA) of 2023, specifically Section 5123, which aims to enhance the accuracy and accessibility of provider directories for Medicaid and CHIP programs. Here are the critical requirements that health plans need to adhere to:
- Update Frequency
- Expanded Data Requirements
- Provider Types Specification
- Corrective Action Plans
Learn how HealthyFort can keep your plan away from costly inaccuracy penalties while saving your administrative costs.
