April 23, 2026. CMS Administrator Dr. Mehmet Oz sent letters to all 50 governors and every state Medicaid director with a message that could not have been clearer: the current provider enrollment infrastructure is broken, and states have 30 days to prove they have a plan to fix it. 

That directive includes nine (9) specific compliance requirements that every state Medicaid program—and the MCOs that serve them—must meet immediately and continuously. 

For every Medicaid program and MCO, this represents a significant challenge. Traditional provider enrollment and credentialing processes were built for periodic revalidation cycles that are dependent on provider-provided data that is difficult to access, chronically inaccurate, and very costly in terms of the human capital required to chase data. In other words, even in the most diligent Medicaid program, the provider data accuracy and timeliness mandated in Dr. Oz’s directive is impossible to achieve while systems remain dependent on providers to provide the data.  

There is, however, a proven provider data and credentialing solution available today that is not dependent on provider-provided data, is continuously monitored and updated, and monitors data for every NPI (over 9.1 million today). This solution is immediately and continuously compliant with each of the nine (9) requirements in Dr. Oz’s April 23 directive. It is called the 4L Provider Intelligence solution, and it is in use today across health plans, provider networks, state Medicaid programs, and payment integrity platforms.   

Satisfy All 9 Medicaid Provider Revalidation Requirements. Immediately.  

The chart below defines how the 4L Provider Intelligence solution, powered by Integr8 AI™, helps health plans, networks, and state Medicaid programs become immediately and continuously compliant with the provider revalidation guidance from Dr. Oz’s April 23 memo.  

Patented Power For Continuous Compliance 

4L Data Intelligence’s patented Integr8 AI™ technology was built to support a continuous credentialing environment like the one mandated by CMS. The 4L Provider Intelligence solution monitors and verifies intelligence profiles across more than 9.1 million NPIs (every NPI).   

Approximately 250 data elements per NPI are monitored daily with automated updates. More importantly, automated alerts on critical patient access, patient safety, and financial integrity data are delivered in near real-time.  

For MCOs, state Medicaid programs, and managed care contractors, that means you have access to an immediate compliance platform. When CMS requires a two-year revalidation strategy within 30 days, organizations running Integr8 AI™ within the 4L Provider Intelligence solution are already compliant.

Schedule A 9-Point CMS Provider Revalidation Plan Review 

Contact Fast@4LData.com to schedule your 9-point CMS Revalidation Compliance plan review. A member of the 4L team will help you:  

• Assess your current compliance status 
• Identify gaps 
• Define a path for immediate and continuous compliance 
• Reduce overall operating costs.