​​​​​​CAA mandates compliance for provider directory data

March 24, 2022

​As part of the Consolidated Appropriations Act (CAA) that went into effect January 1, 2022, participating providers are required to notify us whenever there are changes to their provider data. In addition, health plans are required to verify and update their provider directory information every 90 days. To help us meet this requirement, we ask that our providers review and attest their provider data every 90 days. The first deadline to verify and update your provider data is April 1.

A new tool, Provider Data Maintenance, in PEAR Practice Management (PM) will be launched in April to help you easily review and attest your data. At that time, we will share a user guide that provides step-by-step instructions on the process.

Per the federal mandate, if a provider's data is not validated every 90 days, we are required to suppress the provider from appearing in our provider directory (online Find a Doctor tool) until the information can be confirmed.

Due to the timing of the tool's availability, we will not suppress providers from the directory on April 1. However, once the tool is launched, we ask that you complete your review and attestation as soon as possible.

If your organization has not yet registered for the Provider Engagement, Analytics & Reporting (PEAR) portal, learn more here so you can access the new tool in PEAR PM.

We will share additional information when the tool is available.​