1. LawStack
  2. Title 42 - Public Health
  3. Chapter IV - CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
  4. Subchapter C - MEDICAL ASSISTANCE PROGRAMS
  5. Part 455 - PROGRAM INTEGRITY: MEDICAID
  6. Subpart E - Provider Screening and Enrollment
  7. 42 CFR § 455.440
42 CFR § 455.440
National Provider Identifier
June 11, 2020
CFR

The State Medicaid agency must require all claims for payment for items and services that were ordered or referred to contain the National Provider Identifier (NPI) of the physician or other professional who ordered or referred such items or services.

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§ 455.436 Federal database checks
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§ 455.450 Screening levels for Medicaid providers

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