Section 6503 of the Patient Protection and Affordable Care Act (PPACA) requires that all billing agents, alternate payees, and clearinghouses that submit claims on behalf of health care providers must register with the state and the Secretary in a form specified by the Secretary. This provision will be effective January 1, 2011.

Section 6505 also prohibits payments to institutions or entities located outside of the United States by states for Medicaid services. You can download a PDF of Sections 6503 & 6505 for more information.