Provider Enrollment Revalidation – 2016 (Cylce 2)

ReValidatin 2016_SE1605

Established Due Dates for Revalidation
CMS has established due dates by which the provider/supplier’s revalidation application must reach the MAC in order for them to remain in compliance with Medicare’s provider enrollment requirements. The due dates will generally be on the last day of a month (for example, June 30, July 31 or August 31). Submit your revalidation application to your MAC within 6 months of your due date to avoid a hold on your Medicare payments and possible deactivation of your Medicare billing privileges. Generally, this due date will remain with the provider/supplier throughout subsequent revalidation cycles.
Revalidation notices sent via email will indicate “URGENT: Medicare Provider Enrollment Revalidation Request” in the subject line to differentiate from other emails. If all of the emails addresses on file are returned as undeliverable, your MAC will send a paper revalidation notice to at least two of your reported addresses: correspondence, special payments and/or primary practice address.
NOTE: Providers/suppliers who are within 2 months of their listed due dates on but have not received a notice from their MAC to revalidate, are encouraged to submit their revalidation application.

Unsolicited Revalidation Submissions
All unsolicited revalidation applications submitted more than 6 months in advance of the provider/supplier’s due date will be returned
• What is an unsolicited revalidation?
– If you are not due for revalidation in the current 6 month period, your due date will be listed as “TBD” (To Be Determined). This means that you do not yet have a due date for revalidation.
– Any off-cycle or ad hoc revalidations specifically requested by CMS or the MAC are not considered unsolicited revalidations.
• If your intention is to submit a change to your provider enrollment record, you must submit a ‘change of information’ application using the appropriate CMS-855 form.

IMPORTANT: Each provider/supplier is required to revalidate their entire Medicare enrollment record
The fastest and most efficient way to submit your revalidation information is by using the Internet-based PECOS.

See the complete MLN Matters #SE1605 clicking on the link at the beginning of this post.