Section 6401 (a) of the Affordable Care Act established a requirement for all enrolled providers/suppliers to revalidate their Medicare enrollment information under new enrollment screening criteria. CMS has completed its initial round of revalidations and will be resuming regular revalidation cycles in accordance with 42 CFR §424.515. In an effort to streamline the revalidation process and reduce provider/supplier burden, CMS has implemented several revalidation processing improvements one of which is established due dates by which the providers/suppliers must revalidate.
CMS has established due dates by which the provider/supplier’s revalidation application must reach their MAC (Medicare Administrative Contractor) 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). Providers/suppliers must submit their revalidation application to their MAC within 6 months of due date to avoid a hold on their Medicare payments and possible deactivation of the Medicare billing privileges. Generally, this due date will remain with the provider/supplier throughout subsequent revalidation cycles.
– Due Dates are updated every 60 days at the beginning of the month
– Due Dates are listed up to 6 months in advance
– Due Dates that are not yet assigned will be listed as TBD – To Be Determined (more than 6 months until the due date
– Durable Medical Equipment Prosthetic and Orthotic Supplies (DMEPOS) suppliers will not display a due date; instead, DMEPOS suppliers will receive communication from the National Supplier Clearinghouse (NSC) identifying when their revalidations are due.