Federal Policy
CMS Requests State Medicaid Provider Revalidation Strategies in April Administrator Letter
CMS Administrator Dr. Mehmet Oz sent a letter to State Medicaid Directors on April 23, 2026, requesting each state develop and submit a comprehensive two-year provider revalidation strategy focused on high-risk providers. The letter, identified as an SMD (State Medicaid Director letter), is not published on the official Medicaid.gov site but is available through Fox News. Minnesota's early implementation offers initial lessons for states responding to the directive. The request affects all state Medicaid agencies and their managed care partners responsible for provider enrollment and network adequacy.
Why it mattersManaged care organizations must coordinate with states on provider revalidation requirements that may affect network composition, credentialing timelines, and compliance with federal enrollment standards.