Sign up providers & set participation rules

Months 6–18 · UHA Provider Enrollment; state licensing boardsDiscuss this step

Every concrete action this step requires, who is responsible, and when it happens relative to enactment.

#	Action	Owner	When	Trade-off
1.6.1	Auto-convert every Medicare-enrolled provider in PECOS (about 1.5 million) to a UHP provider, with a 90-day opt-out window.	UHA	Month 9–12	Auto-converting Medicare providers enrolls most clinicians instantly but includes some with past compliance problems.
1.6.2	Enroll providers not in Medicare today: pediatricians, obstetricians, dentists, optometrists, audiologists, and HCBS agencies.	UHA	Month 6–18	Enrolling non-Medicare providers fills gaps in pediatrics and dental but requires new credentialing for hundreds of thousands of clinicians.
1.6.3	Publish participation terms: payment in full, no balance billing, data reporting (quality, waits, ownership), non-discrimination, and posted hours.	UHA	Month 6	Uniform participation terms are fair but impose data-reporting burdens on small practices.
1.6.4	Set opt-out rules: a 2-year all-or-nothing commitment; opted-out providers must post a notice and give patients written fee estimates.	UHA	Month 6	A strict 2-year opt-out keeps capacity in UHP but may push some physicians to retire rather than choose.
1.6.5	Ownership transparency: every participating entity reports its ultimate owners (private equity, health systems, insurers).	UHA	Month 12	Ownership disclosure exposes private-equity roll-ups but adds compliance work for every entity.
1.6.6	Establish provider-relations offices in each region for disputes and onboarding.	UHA regional offices	Month 9–18	Regional provider-relations offices resolve disputes faster but add administrative staff.