CMS Releases State Health Official Letter to Provide Guidance on Provider Directories

 

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Medicaid.gov

Today, the Centers for Medicare & Medicaid Services (CMS) released a State Health Official (SHO) letter to provide guidance and expectations for compliance with the Requiring Accurate, Updated, and Searchable Providers Directories requirement under the Consolidated Appropriations Act, 2023, which takes effect July 1, 2025. This SHO letter specifically addresses:

  • Changes to Provider Directory data requirements and features resulting from Section 5123 of the CAA, 2023;
  • Availability of enhanced federal financial participation (FFP) for Medicaid fee-for-service Provider Directory development and operations;
  • Non-Compliance: Corrective action plan requirements for re-approval of Medicaid Systems; and
  • Returning to compliance and requesting re-approval of Medicaid Systems.

Please review the SHO letter on Medicaid.gov for more information.