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News related to "pre-payment"
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DHS Issues Additional Guidance for Providers in High-Risk Service Categories
On January 22, 2026 by Kelly Conrad
DHS announced this week that, in addition to the provider enrollment freeze for what they have deemed 13 high-risk categories, all claims submitted for services within these categories will be suspended pending pre-payment review. DHS also confirmed high-risk providers will be subject to an off-cycle revalidation process.