A provision of the Affordable Care Act that requires providers to revalidate or recertify their Medicaid reimbursement eligibility has caused 65,000 providers to be stripped from the federal program, according to a Modern Healthcare analysis. Providers that enrolled in Medicaid before March 25, 2011 had to send in revalidation notices to the CMS on or before Sept. 25, 2016 or risk being dropped. The ACA provision was an effort to curb fraud, waste, and abuse in the program. Modern Healthcare received data from 15 Medicaid agencies around the country. There is no nationwide tally of the total number of providers that accept Medicaid. But to give a ballpark estimate on impact, Texas cut more than 28,000 of its 298,000 Medicaid providers.