This is the first scrollable banner on the DMAS website:

Provider Services Solution (PRSS)

We don't want to lose our valuable providers! If you are a provider who recently received notice that you are no longer in a managed care network, the issue most likely can be fixed quickly with your help.

DMAS, the MCOs, and Gainwell are committed to working with providers to remedy the issue. Learn how to resolve common issues and enroll in PRSS.

Notice the bolded statement. Now consider the reality. 

The number of changes introduced by the Commonwealth in the past year alone--consistent misalignment of the MCOs with state policy and regulatory guidance, inexplicable and continuous resurfacing invalid provider demographic information, MCO audits and recoveries hitting an all time high--would be enough to make any provider of integrity question whether they can continue to operate while accepting Medicaid clients. There is simply too much risk. And these are not just inconvenient patterns--they are existential threats. It is only with tremendous sacrifice that any provider continues to serve--sacrifice of both personal and organizational level magnitude.

And yet, the constantly rising bar to entry of administrative burden and operational red tape persists--in fact it is unrelenting. The failure to consider the cost of doing business is no longer a forgivable blunder, it is an egregious oversight. This all looks great on paper (and truly, the formatting of this document far exceeds what we're used to, so kudos). But it lacks any meaningful content because it is simply unsustainable in practice. It is a dream shrouded in name brand EBPs that cost providers out of pocket to maintain compliance with while the state offers laughable returns. 

But there is more at stake here than just money. Communities will suffer. Who will provide the right help, right now when no providers are left standing? 

And one other thing I have to offer: get the PRSS system to start passing through an actual term date on the JSON file so that the inactive provider locations actually end instead of passing through with 99991231 as the tech specs suggest they do. The recycling of old data is getting old and the chaos is compounding.