process for limited risk providers who care for children (and the adults who have medically complex needs which began in childhood) under the Medicaid and CHIP programs will accelerate access to appropriate care. In addition, such a process has the potential to strengthen program integrity efforts by requiring thorough screening and vetting of providers. 3. Streamlined screening and enrollment process for eligible out-of-State Medicaid providers and suppliers (a) In general Section 1902(kk) of the Social Security Act ( 42 U.S.C. 1396a(kk) ) is amended by adding at the end the following new paragraph: (10) Streamlined screening and enrollment process for eligible out-of-State providers and suppliers (A) In general Subject to subsection (a)(65), the State adopts a streamlined screening and enrollment process for eligible out-of-State providers and suppliers. (B) Streamlined screening and enrollment process For purposes of subparagraph (A), the term streamlined screening and enrollment process means a process that enables an eligible out-of-State provider or supplier to enroll as a provider or supplier in the State plan on a simplified and streamlined basis in accordance with the requirements of subparagraph (D). (C) Eligible out-of-State provider or supplier For purposes of subparagraph (A), the term eligible out-of-State provider or supplier means a provider or supplier of medical or other items or services furnished to a child for which payment is available under the State plan under this title that is located in another State and with respect to which the Secretary has determined there is a limited risk of fraud, waste, or abuse for purposes of determining the level of screening to be conducted under section 1866(j)(2)(B). (D) Requirements For purposes of subparagraph (B), the requirements of this subparagraph are the following: (i) An eligible out-of-State provider or supplier that elects to be and is enrolled in the program established under this title in accordance with the process established by the