CMS Resumes Revalidation Cycles for Medicare and Medicaid Providers

The Centers for Medicare & Medicaid Services (CMS), the federal agency that administers the Medicare and Medicaid programs, has finished its initial round of revalidations and is resuming ongoing revalidation cycles.

Periodic revalidation with CMS is a requirement of the Affordable Care Act which established new screening requirements for providers and suppliers and created the revalidation process.

Revalidation Due Dates

For medical providers and suppliers, it’s easy to look up your specific revalidation due date at data.CMS.gov/revalidation. This website lists due dates up to 6 months in advance and is updated every 60 days. If the due date for your organization is “TBD,” that means that your revalidation due date is more than 6 months away.

All revalidation due dates are at the end of a month. Your assigned revalidation date will generally remain the same through future revalidation cycles.

You Will Receive a Revalidation Notice

2 to 3 months prior to your revalidation due date, you will receive a notice of this requirement. The notice will be sent to the email address that you reported on your prior application. If you did not include an email address, the notice will be sent via USPS mail to at least 2 of your reported addresses: Correspondence address, special payments address or primary practice address.

Importantly, if you look up your revalidation due date and you are within 2 months of the date, you should submit your revalidation application even if you have not received a revalidation notice.

The Revalidation Process

You must revalidate your entire enrollment record, including all practice locations and current reassignments. You can use this handy CMS Revalidation Checklist to make sure your information is complete.

Submit your revalidation information via the Internet Based PECOS. First, review your current information and then update and submit your revalidation. Your electronic signature will be required or you can print out the certification, sign and mail it.

Don’t use the revalidation process to report any changes. Instead, Use a “Change of Information” application from Internet Based PECOS or the appropriate CMS-855 form.

Caution: If you don’t revalidate by your due date, you jeopardize your provider enrollment status and Medicare payments, and may have your Medicare billing privileges deactivated. In that event, you must submit a complete application to reactive your enrollment.

For complete information on all requirements, please visit the CMS revalidation website.

The CMS revalidation process is just one of the many credentialing and payor enrollment services that we provide here at 1st Assistant. Let our skilled staff members go to work for you to relieve you of this administrative burden.

We Can Help With All Payor Enrollment Services

If you require medical credentialing and payor enrollment needs for your practice or medical facility, please contact 1st Assistant. Our experienced and dedicated specialists will provide all credentialing and enrollment services quickly and will monitor your account for ongoing updates and re-attestations. Heidi Henderson, our company owner and President, is eager to meet you and discuss your payor enrollment needs. Please call us at 512.201.2668 or contact us via the website.