Medicaid Provider Screening Accountability Act

Requires States to add a new provider-screening step for Medicaid and CHIP. Starting January 1, 2028, States must check a federal/state database to see if a provider was terminated from Medicare or from another State’s Medicaid or CHIP program. The check must happen at enrollment and revalidation, and at least monthly while the provider is enrolled.

This aims to keep barred or high‑risk providers out of Medicaid and CHIP, reduce fraud and improper payments, and protect patients. It adds ongoing administrative work for State Medicaid agencies and tighter oversight for participating providers.