Medi-Cal Disclosure Statement and Temporary Suspensions: Anti-Fraud or Anti-Provider?

Increased “screening” of health care providers was among the new anti-fraud “tools” ushered in by Affordable Care Act (ACA).The health care reform bill established new screening procedures and expanded the arsenal of tools to combat fraud and ensure “integrity”.

While those tools are coming soon to the Medicare Program, they are already an increasingly prominent feature of the Medi-Cal Program. If Medicare “screening” looks anything like recent Medi-Cal efforts, physicians have reason to be worried.