On November 8, 2011, the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) announced that it has posted online a spreadsheet of providers and suppliers who have been sent a request to revalidate their Medicare enrollment information. The list includes the name and national provider identifier (NPI) of each provider/supplier as well as the date that CMS mailed the provider/supplier’s revalidation request letter.
Section 6401 of the Patient Protection and Affordable Care Act requires that all Medicare enrolled providers/suppliers revalidate their enrollment information under updated screening criteria to better prevent fraudulent enrollments. Any provider/supplier that was enrolled prior to March 25, 2011 will be affected by the current revalidation request by CMS.
The Medicare Administrative Contractors (MACs) are now beginning to mail notices to providers/suppliers on a rolling basis to begin the revalidation process required by Section 6401. Providers/suppliers must wait until they receive a revalidation letter from their MAC to submit their information and application fees to CMS. Providers/suppliers are then required to respond to the revalidation request within sixty days.
CMS originally planned to re-enroll the approximately 1.4 million affected providers/suppliers by March 2013 but recently agreed to a two-year extension of the revalidation timeline after petitioning by the American Medical Association.
For more information regarding CMS’s ongoing revalidation program and a link to the list of providers/suppliers who have already been sent a request, click here. For general information regarding validation of Medicare provider enrollment information, click here.