Task 1.6.2 of 6
Enroll providers not in Medicare today: pediatricians, obstetricians, dentists, optometrists, audiologists, and HCBS agencies.
Who does it
UHA
When
Month 6–18
Trade-off
Enrolling non-Medicare providers fills gaps in pediatrics and dental but requires new credentialing for hundreds of thousands of clinicians.
Part of: Sign up providers & set participation rules
Every licensed provider that wants to bill UHP signs one participation agreement. Participating providers accept UHP payment as payment in full (no balance billing). Opted-out providers may see patients privately but cannot bill UHP for anyone.
This step changes 8 existing laws, programs, or institutions. See the list.