Prior to the passage of the Affordable Care Act, a provider terminated from Medicaid enrollment, or eligibility, in one state could easily slip through the cracks and enroll in another state. Most states did not share or have access to a centralized database of terminated Medicaid providers. Obviously, this is not good for ferreting out fraud and preventing a terminated provider (especially if he/she was terminated for fraud and/or abuse) from hopping state lines and enrolling in another state.