Medicaid Provider Enrollment 1135b Waiver Requests - State by State Analysis

As of April 15, 2020 10:00am EST

COVID-19 is a once in a hundred year pandemic. SunHawk Consulting is committed to providing timely and relevant information to help Compliance and Legal Professionals in the health care and life sciences industry manage risk in this evolving regulatory environment. Below please find a current State by State tracking of out of state Medicaid provider enrollment wavers under the recent Blanket 1135 Waiver communication on March 13, 2020. To date 48 States, DC and 3 Protectorates have filed 1135 Waivers and received approvals. Alabama, Iowa, and Virgina did not receive waivers related to Provider Enrollment.

State by State Medicaid Provider Enrollment Waiver Analysis

Providers of Medicaid Services for patients in states where the Provider is not licensed, and thus is not enrolled as a Medicaid provider in that state, runs the risk of non-payment under current Medicaid Provider Enrollment Rules. In order to increase the probability of payment make sure the applicable State 1135 Waiver allows for payment. See the states below that have requested 1135 Waivers and which have received Approvals related to Provider Enrollment.

Links to States that did not Receive 1135 Medicaid Provider Enrollment Waiver According to Current Filings:

Links to States that have Submitted and Received Medicaid Provider Enrollment Waiver:

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