The following list contains:
Not every action taken by the Health Care Authority (HCA) involves a finding of wrongdoing (see WAC 182-502-0030 (b)). Individuals or entities terminated without cause pursuant to WAC 182-502-0040 are not included on this list.
The Affordable Care Act requires that all physicians or other professionals who prescribe, order, or refer services to Medicaid recipients must be enrolled as participating providers (see 42 CFR 455.410 (b)). Therefore, any non-enrolled provider—including any provider who is terminated from the Medicaid program for any reason—is not permitted to order, prescribe, or make referral for services to Medicaid recipients.