Unverified entries must be flagged and departed providers removed in five days
Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6220, Sec. 6220.
Written by .
Unverified entries must be flagged and departed providers removed in five days
The document says “shall”Who acts: Medicare Advantage organizationsHow: statuteSec. 6220 in the PDF
What the document says
“remove a provider from such directory within 5 business days if the organization determines that the provider is no longer a provider participating in the network of such plan.”
The new paragraph also requires the organization, where it cannot verify a provider's information, to mark the entry as possibly out of date, and to remove a provider within five business days of determining that the provider is no longer in the plan's network.
What the document actually says
“remove a provider from such directory within 5 business days if the organization determines that the provider is no longer a provider participating in the network of such plan.”
That sentence, in plain words
If a doctor leaves the plan's group, the plan must take that doctor off the list. It has five work days to do it.
What this is about
A plan that cannot reach a doctor must say so on the list. That warns the patient. A doctor who has left must come off.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
Consolidated Appropriations Act, 2026, Public Law 119-75, sec. 6220, 140 Stat. 656 (2026). https://www.govinfo.gov/content/pkg/PLAW-119publ75/html/PLAW-119publ75.htm
This page
“Unverified entries must be flagged and departed providers removed in five days,” Consolidated Appropriations Act, 2026, section 6220, Sec. 6220. Read the Mandate, https://readthemandate.org/consolidated-appropriations-act-2026/proposal/sec6220-flag-and-remove/ (retrieved October 10, 2026).
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