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services to, or orders, prescribes, refers, or cer-
tifies eligibility for services for, individuals who 
are eligible for medical assistance under the 
State plan under this title and who are enrolled 
with the entity, the provider is enrolled with the 
State agency administering the State plan 
under this title. Such enrollment shall include 
providing to the State agency the provider’s 
identifying information, including the name, 
specialty, date of birth, Social Security number, 
national provider identifier, Federal taxpayer 
identification number, and the State license or 
certification number of the provider. 
‘‘(B) RULE OF CONSTRUCTION.—Nothing 
in subparagraph (A) shall be construed as re-
quiring a provider described in such subpara-
graph to provide services to individuals who are 
not enrolled with a managed care entity under 
this title.’’. 
(c) COORDINATION WITH CHIP.— 
(1) IN
GENERAL.—Section 2107(e)(1) of the 
Social Security Act (42 U.S.C. 1397gg(e)(1)) is 
amended— 
(A) by redesignating subparagraphs (B), 
(C), (D), (E), (F), (G), (H), (I), (J), (K), (L), 
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(M), (N), and (O) as subparagraphs (D), (E), 
(F), (G), (H), (I), (J), (K), (M), (N), (O), (P), 
(Q), and (R), respectively; 
(B) by inserting after subparagraph (A) 
the following new subparagraphs: 
‘‘(B) Section 1902(a)(39) (relating to ter-
mination of participation of certain providers). 
‘‘(C) Section 1902(a)(78) (relating to en-
rollment of providers participating in State 
plans providing medical assistance on a fee-for- 
service basis).’’; 
(C) by inserting after subparagraph (K) 
(as redesignated by subparagraph (A)) the fol-
lowing new subparagraph: 
‘‘(L) Section 1903(m)(3) (relating to limi-
tation on payment with respect to managed 
care).’’; and 
(D) in subparagraph (P) (as redesignated 
by subparagraph (A)), by striking ‘‘(a)(2)(C) 
and (h)’’ and inserting ‘‘(a)(2)(C) (relating to 
Indian enrollment), (d)(5) (relating to contract 
requirement for managed care entities), (d)(6) 
(relating to enrollment of providers partici-
pating with a managed care entity), and (h) 
(relating to special rules with respect to Indian 
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enrollees, Indian health care providers, and In-
dian managed care entities)’’. 
(2) EXCLUDING
FROM
MEDICAID
PROVIDERS 
EXCLUDED FROM CHIP.—Section 1902(a)(39) of the 
Social Security Act (42 U.S.C. 1396a(a)(39)) is 
amended by striking ‘‘title XVIII or any other State 
plan under this title’’ and inserting ‘‘title XVIII, any 
other State plan under this title, or any State child 
health plan under title XXI’’. 
(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed as changing or limiting the appeal 
rights of providers or the process for appeals of States 
under the Social Security Act. 
(e) OIG REPORT.—Not later than March 31, 2020, 
the Inspector General of the Department of Health and 
Human Services shall submit to Congress a report on the 
implementation of the amendments made by this section. 
Such report shall include the following: 
(1) An assessment of the extent to which pro-
viders who are included under subsection (ll) of sec-
tion 1902 of the Social Security Act (42 U.S.C. 
1396a) (as added by subsection (a)(3)) in the data-
base or similar system referred to in such subsection 
are terminated (as described in subsection (kk)(8) of 
such section, as added by subsection (a)(1)) from 
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participation in all State plans under title XIX of 
such Act. 
(2) Information on the amount of Federal fi-
nancial participation paid to States under section 
1903 of such Act in violation of the limitation on 
such payment specified in subsections (i)(2)(D) and 
subsection (m)(3) of such section, as added by sub-
section (a)(4). 
(3) An assessment of the extent to which con-
tracts with managed care entities under title XIX of 
such Act comply with the requirement specified in 
section 1932(d)(5) of such Act, as added by sub-
section (a)(2). 
(4) An assessment of the extent to which pro-
viders have been enrolled under section 1902(a)(78) 
or 
1932(d)(6)(A) 
of 
such 
Act 
(42 
U.S.C. 
1396a(a)(78), 1396u–2(d)(6)(A)) with State agen-
cies administering State plans under title XIX of 
such Act. 
SEC. 3. REQUIRING PUBLICATION OF FEE-FOR-SERVICE 
PROVIDER DIRECTORY. 
(a) IN GENERAL.—Section 1902(a) of the Social Se-
curity Act (42 U.S.C. 1396a(a)) is amended— 
(1) in paragraph (80), by striking ‘‘and’’ at the 
end; 
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(2) in paragraph (81), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (81) the fol-
lowing new paragraph: 
‘‘(82) provide that, not later than January 1, 
2017, in the case of a State plan that provides med-
ical assistance on a fee-for-service basis or through 
a primary care case-management system described 
in section 1915(b)(1) (other than a primary care 
case management entity (as defined by the Sec-
retary)), the State shall publish (and update on at 
least an annual basis) on the public Website of the 
State agency administering the State plan, a direc-
tory of the physicians described in subsection (mm) 
and, at State option, other providers described in 
such subsection that— 
‘‘(A) includes— 
‘‘(i) with respect to each such physi-
cian or provider— 
‘‘(I) the name of the physician or 
provider; 
‘‘(II) the specialty of the physi-
cian or provider; 
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‘‘(III) the address at which the 
physician or provider provides serv-
ices; and 
‘‘(IV) the telephone number of 
the physician or provider; and 
‘‘(ii) with respect to any such physi-
cian or provider participating in such a 
primary care case-management system, in-
formation regarding— 
‘‘(I) whether the physician or 
provider is accepting as new patients 
individuals who receive medical assist-
ance under this title; and 
‘‘(II) the physician’s or provider’s 
cultural and linguistic capabilities, in-
cluding the languages spoken by the 
physician or provider or by the skilled 
medical interpreter providing interpre-
tation services at the physician’s or 
provider’s office; and 
‘‘(B) may include, at State option, with re-
spect to each such physician or provider— 
‘‘(i) the Internet website of such phy-
sician or provider; or 
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