Medi-Cal Providers to be Subjected to Criminal Background Checks

Medi-Cal  Providers to be Subjected to Criminal Background Checks

 

Beginning August 1, providers considered at “high risk” for defrauding state Medicaid programs will undergo a criminal background check that includes fingerprinting. Medi-Cal is California’s Medicaid Program.

By March 2016, all of a states' Medicaid and CHIP providers must be ranked as having a limited, moderate or high risk of defrauding the program, the CMS says in a June 1 letter to state Medicaid directors (PDF).  States must repeat this process at least once every five years.

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