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Understanding Provider Enrollment Requirements Under Section 6401(a) of the Affordable Care Act
"Under Section 6401(a) of the Affordable Care Act (ACA), the provider of medical services or supplies who must comply with enhanced screening, fingerprinting, and criminal background checks is any participating healthcare provider or supplier enrolling in Medicare, Medicaid, or the Children's Health Insurance Program (CHIP). This mandate established a tiered risk-based screening framework to protect public programs from fraud, waste, and abuse. Legislative Background and Statutory Intent of ACA Section 6401(a) The Patient Protection and Affordable Care Act, signed into law in March 2010, fundamentally transformed the landscape of healthcare co..."
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