Medicaid Provider Revalidation: Navigating Dr. Oz’s Sweeping Enrollment Audit
Published: April 27, 2026
On April 23, 2026, Dr. Mehmet Oz, Administrator of the Centers for Medicare & Medicaid Services (“CMS”), sent letters to all governors and State Medicaid Directors requesting that the states do the following:
- Within 10 days, provide to CMS a timeline for swift revalidation of high-risk providers. High risk providers include newly-enrolling home health agencies and durable medical equipment suppliers, as well as providers that have a history of certain fraud and abuse determinations or are in a category that has recently been the subject of a provider enrollment moratorium. Dr. Oz also indicated that states must designate that any provider without a national provider identifier as “high risk”; and
- Within 30 days, submit a comprehensive two-year provider revalidation strategy for off-cycle provider revalidations with a focus on high-risk providers.