As part of this required revalidation process, Mass Health must revalidate the enrollment information and, if needed, collect an updated Federally Required Disclosures Form from all enrolled providers. See Section 6401 of the Affordable Care Act, 42 CFR 455.414 and 42 CFR 455.104(c)(1)(iii).
Note: Providers who are in private practice and not affiliated with or employed by a group organization should follow the instructions for their provider type.
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The Centers for Medicare & Medicaid Services (CMS) requires state Medicaid programs to revalidate provider enrollments at intervals not to exceed every five years.
The most efficient way to submit your revalidation information is by using the Internet-based PECOS location on the CMS website.
PECOS allows you to review information currently on file, update and submit your revalidation via the Internet.
First Coast will return any unsolicited revalidation applications received earlier than six months before the due date, or when a due date is not yet listed.
The Revalidation Lookup Tool is updated every 60 days, so we encourage providers to check the tool periodically and respond timely once your due date is established.
If you do not have access to POSC, you must submit a with the administrator’s information.
The CMS revalidation requirement for durable medical equipment (DME) and home medical equipment (HME) providers, including pharmacy providers with DME or HME specialty enrollments, is more frequent, at intervals not to exceed every three years.
Indiana Health Coverage Programs (IHCP) providers will receive notification letters when it is time to revalidate their enrollments.
You can e-mail the completed form to [email protected], fax it to 617-988-8974, or mail it to Mass Health Provider Revalidation Unit P. Box 121205Boston, MA 02112-1205Mass Health Provider Bulletins issued to support the revalidation of providers.
To comply with the Affordable Care Act (ACA), the Centers for Medicare & Medicaid Services (CMS) requires all enrolled providers to revalidate their enrollment information every five years.