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Advisory Opinion 24-02 on the Scope of States’ Authority to Exclude Providers from Participation under a Medicaid State Plan December 11, 2024

This Advisory Opinion addresses a State’s authority to exclude a provider from participation under a State plan under Title XIX of the Social Security Act (“the Act”).

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Issued by: Office of the General Counsel (OGC)

Issue Date: December 11, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.