Revalidation Notice List for Providers Enrolled Before 2011-03-25

$179 / year

This dataset contains the current list of all providers and suppliers who have been mailed a revalidation notice. If a provider/supplier has been listed but has not received the request, then they have to contact their MAC (Medicare Administrative Contractors).

Complexity

Section 6401 (a) of the Affordable Care Act established a requirement for all enrolled providers and suppliers to revalidate their enrollment information under new enrollment screening criteria. This revalidation effort applies to those providers and suppliers that were enrolled prior to March 25, 2011. Newly enrolled providers and suppliers that submitted their enrollment applications to CMS on or after March 25, 2011, are not impacted. Between now and March 23, 2015, MACs (Medicare Administrative Contractors) will send out notices on a regular basis to begin the revalidation process for each provider and supplier. Providers and suppliers must wait to submit the revalidation only after being asked by their MAC (Medicare Administrative Contractors) to do so. Please note that 42 CFR 424.515(d) provides CMS the authority to conduct these off-cycle revalidations.

Revalidation of Medicare provider enrollment has been implemented in stages for providers who were enrolled in Medicare prior to March 25, 2011. Audiologists and speech-language pathologists do not need to seek out revalidation, but they do need to respond within 60 days of the notification date from the MAC (Medicare Administrative Contractors).

Once notification for revalidation is received, providers should

– Use the Internet-based PECOS (Medicare Provider Enrollment, Chain, and Ownership System) to review information currently on file and update and submit revalidation via the Internet,
– Submit an enrollment fee if specified in the notification and the revalidation is for an institutional provider (not an individual or group practice),
– Print, sign, date, and mail the certification statement along with all required supporting documentation to the appropriate MAC-failure to submit the enrollment forms as requested may result in the deactivation of the provider’s Medicare billing privileges.

Date Created

2016-02-04

Last Modified

2016-07-05

Version

2016-07-05

Update Frequency

Semimonthly

Temporal Coverage

N/A

Spatial Coverage

United States

Source

John Snow Labs; Centers of Medicare and Medicaid Services (Data.CMS.gov);

Source License URL

Source License Requirements

N/A

Source Citation

N/A

Keywords

Medicare Revalidation Notice List, Revalidation Notice List, Revalidation List of Providers, CMS Data, Medicare Revalidations, Medicare Enrollment

Other Titles

Medicare Revalidation Notice List for Providers, Medicare Enrollment Revalidation Due Date List for Providers and Suppliers 2016

NameDescriptionTypeConstraints
National_Provider_IdentifierUniversal identifier of healthcare providers. Also called NPI.string-
Name_of_ProviderFull name of Individual Provider or Legal business name of the organizational provider.string-
Revalidation_Notice_Sent_DateDate at which the revalidation notice was sentdate-
State_AbbreviationCode for the US state of the Medicare contractor that assisted in the enrollmentstring-
National Provider IdentifierName of ProviderRevalidation Notice Sent DateState Abbreviation
1427019413HILLCREST HEALTHCARE COMMUNITIES INC ISLAND HOME PARK HEALTH AND REHAB2014-02-04TN
1487767026MIDMICHIGAN STRATFORD VILLAGE N/A2014-02-03MI
1659461143FAMILY HEALTH CARE ASSOCIATES OF BARBOURVILLE INC FAMILY HEALTH CARE ASSOICATES OF BARBOURVILLE2014-02-04KY
1336119627BAPTIST WOMEN'S HEALTH CENTER LLC THE HOSPITAL FOR SPINAL SURGERY2014-02-04TN
1215907951WEST CENTRAL KANSAS ASSOCIATION, INC. RUSSELL REGIONAL HOSPITAL PHYSICIANS CLINIC2014-02-03KS
1164475711WARSAW HEALTH SYSTEM LLC KOSCIUSKO COMMUNITY HOSPITAL2014-02-03IN
1295700201DVA RENAL HEALTHCARE INC SAN YSIDRO DIALYSIS2014-02-04CA
1508828765DVA RENAL HEALTHCARE INC MOUNTAIN VIEW DIALYSIS2014-02-04NV
1235193905DVA RENAL HEALTHCARE INC RELIANT DIALYSIS2014-02-04TX
1427024819DVA HEALTHCARE RENAL CARE INC BRENTWOOD DIALYSIS2014-02-04DC