(a) In this section, “national provider identifier number” means the national provider identifier number required under Section 1128J(e) of the Social Security Act (42 U.S.C. § 1320a-7k(e)).
(b) The commission shall transition from using a state-issued provider identifier number to using only a national provider identifier number in accordance with this section.

Ask a legal question, get an answer ASAP!
Click here to chat with a lawyer about your rights.


(c) The commission shall implement a Medicaid provider management and enrollment system and, following that implementation, use only a national provider identifier number to enroll a provider in Medicaid.
(d) The commission shall implement a modernized claims processing system and, following that implementation, use only a national provider identifier number to process claims for and authorize Medicaid services.


Text of section effective on April 01, 2025