Accelerating Kids’ Access to Care Act

To amend title XIX of the Social Security Act to streamline enrollment under the Medicaid program of certain providers across State lines, and for other purposes. 1. Short title This Act may be cited as the Accelerating Kids’ Access to Care Act 2. Streamlined enrollment process for eligible out-of-State providers under the Medicaid program (a) In general Section 1902(kk) of the Social Security Act ( 42 U.S.C. 1396a(kk) (10) Streamlined enrollment process for eligible out-of-State providers (A) In general The State adopts and implements a process that enables an eligible out-of-State provider to enroll as a provider in the State plan without the imposition of additional screening requirements by the State. An eligible out-of-State provider that enrolls in the State plan through such process shall be so enrolled for a 5-year period and may revalidate such enrollment through such process for subsequent 5-year periods. (B) Definitions In this paragraph: (i) Eligible out-of-State provider The term eligible out-of-State provider (I) that furnishes to qualifying individuals any item or service for which payment is available under the State plan of the State; (II) that is located in any other State; (III) with respect to which the Secretary has determined there is a limited risk of fraud, waste, or abuse for purposes of determining the level of screening to be conducted under section 1866(j)(2)(B); (IV) that has been screened under such section 1866(j)(2)(B) for purposes of enrolling in the Medicare program under title XVIII or the State plan of the State in which such provider is located; and (V) that has not been excluded from participation in the Medicare program under such title or the Medicaid program under this title. (ii) Qualifying individual The term qualifying individual (I) an individual under 18 years of age to whom the provider furnishes items and services for the treatment of a condition; and (II) an individual 18 years of age or older to whom the provider furnishes items and services for the treatment of a condition that onset before such individual attained 18 years of age. . (b) Conforming amendments (1) Section 1902(a)(77) of the Social Security Act ( 42 U.S.C. 1396a(a)(77) enrollment, screening, (2) Section 1902(kk) of such Act ( 42 U.S.C. 1396a(kk) (A) in the subsection heading, by inserting Enrollment, Screening, (B) in paragraph (9), by striking Nothing Except as provided in paragraph (10), nothing (3) Section 2107(e)(1)(G) of such Act ( 42 U.S.C. 1397gg(e)(1)(G) enrollment, screening, (c) Effective date (1) In general Except as provided in paragraph (2), the amendments made by this section take effect on January 1, 2022. (2) Exception for State legislation In the case of a State plan under title XIX of the Social Security Act ( 42 U.S.C. 1396 42 U.S.C. 1397aa

Summary: Accelerating Kids' Access to Care Act This bill requires state Medicaid programs to establish a process through which qualifying out-of-state providers may enroll as participating providers without undergoing additional screening requirements. Among other things, a qualifying provider must (1) serve minors, or adults whose condition began as a minor; and (2) have previously been screened for Medicare participation or for participation in the Medicaid program of the state in which the provider is located.