24828d2e_Compliance_Audits__Answer
[Reference Number] 20 [Topic] Direct vs. Non-Direct [Question] Isn't it true that a payor can elect to be a direct payor or not. Couldn't this result being on the list one year and not another? [Answer] 
On the electing payor list, there are fields for effective and termination dates which document the time frame for which a payor maintained electing status. These are taken into consideration during the compliance review.
Compliance Audits