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

$79 / 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

John Snow Labs Standard License

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

Name Description Type Constraints
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
UNKNOWN2013-08-12AL
UNKNOWN2013-03-29TX
UNKNOWN2012-10-01WA
10432255352012-11-02
10837718362012-09-14
11644001802012-09-14
13069618182011-12-22
10139524722011-09-16
10634193152011-09-16
10735877962011-09-16
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