According to the HHS Office of Inspector General (OIG), 12% of providers terminated for cause by a state Medicaid program in 2011 continued participating in other states’ Medicaid programs as of January 2014, despite an Affordable Care Act (ACA) requirement that states terminate any provider terminated for cause by another state Medicaid program.  The OIG acknowledges that states face challenges in complying with this requirement, including the lack of a comprehensive data source for identifying all such terminations, difficulty differentiating these terminations from other administrative actions, and data gaps related to states that do not enroll providers participating in Medicaid managed care organizations (MCOs).  The OIG recommends that CMS:  (1) work with states to develop uniform terminology to clearly identify for cause terminations, (2) require that state Medicaid programs enroll all providers participating in Medicaid MCOs, and (3) issue guidance that termination is not contingent upon the provider’s active licensure status. CMS concurred with these recommendations.  For details, see the full report, “Providers Terminated from One State Medicaid Program Continued Participating in Other States.”