Medicare Providers Must Revalidate Enrollment
September 7, 2011 – All providers and suppliers who enrolled in the Medicare program prior to Friday, March 25, 2011, will be required to revalidate their enrollment under new risk screening criteria required by the Affordable Care Act (ACA).
We reported this new regulation in our Leading Edge newsletter, Volume CN9, on April 20, 2011. You may refer to that issue or click below and scroll down to DOWNLOADS and click on R371PI to review the screening criteria and whether you will need to pay a fee for the application.
Provider Enrollment Provisions
Between now and March 2013, MACs (Medicare Administrative Contractors) will be sending notices to individual providers/suppliers. You should begin the revalidation process as soon as you hear from your MAC. Should the notices be sent to AHS, we will notify you upon receipt and will assist you in completing the enrollment form.
Upon receipt of the revalidation request, providers/suppliers will have 60 days from the date of the letter to submit complete enrollment forms. Failure to complete and submit the enrollment form may result in the deactivation of your Medicare billing privileges.
Section 6401a of the ACA requires institutional providers and suppliers to pay an application fee when enrolling or revalidating. CMS is working to develop innovative technologies and streamlined enrollment processes and will share these technologies as they are completed for provider use.
For updated information on the enrollment process, click below for PDF SE1126.
SE1126 Revalidation of Provider Enrollment
Tags: Provider Enrollment
