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

As of April 8, 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 47 States, DC and Virgin Islands 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:

Ramping Up Virtual Project Management / Team Facilitation in Response to COVID-19? SunHawk Can Help

Our skilled leaders and professionals at SunHawk are experts at managing complex and time sensitive projects in a virtual on-line world.  In these disruptive times, we can jump in to help your organization with regulatory and compliance management needs including:

· Organizing a short-term crisis management/response team,

· Facilitating or assume leadership of a new compliance initiative, or

· Provide leadership to an established team or add additional expertise.


Do you have work that needs to be done? Do you not have the immediate bandwidth or resources to see such projects to fruition given other priorities? We can help, please reach out to Jim Rough or James Rose for assistance:

Jim@SunHawkConsulting.com

James.Rose@SunHawkConsulting.com

SunHawk Consulting is a team of highly skilled and experienced subject matter experts in the Healthcare, Life Sciences, and Insurance Industries who understand that the client’s needs and budgets come first. SunHawk provides Crisis Management Response, Compliance Consulting, Disputes & Investigations, and Staff Augmentation services for Boards of Directors, internal/external legal counsel, company management and employees, special committees, bankruptcy trustees and receivers, and government agencies.



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