Provider Enrollment Revalidation
As required by section 6401 (a) of the Patient Protection and Affordable Care Act (the Affordable Care Act), all enrolled Medicare providers and suppliers must revalidate their enrollment information under new enrollment screening criteria. This impacts home health and hospice agencies that were enrolled in the Medicare program prior to March 25, 2011.
Review the following resources to assist your agency in successfully revalidating your Medicare provider enrollment information:
CMS Resources
- Medicare Provider-Supplier Enrollment Web page
- Revalidations Web page
- Medicare Learning Network (MLN) Matters® Number: MM7350 - Implementation of Provider Enrollment Provisions in CMS-6028-FC
- MLN Matters® Number: SE1126 - Further Details on the Revalidation of Provider Enrollment Information
- MLN Matters® Number: SE1130 - Implementation of Pay.gov Application Fee Collection Process through PECOS
- MLN Matters® Number: SE1135 - Guidance on Completing the CMS-855A Enrollment Form
- Transcript of October 27, 2011, CMS Revalidation of Medicare Provider Enrollment National Provider Call
- List of Providers Sent a Revalidation Request in September - October 2011
- List of Providers Sent a Revalidation Request in November – December 2011
- Medicare Enrollment Frequently Asked Questions
CGS Resources
- November 14, 2011, News Item - All Medicare Provider and Supplier Payments to be made by Electronic Funds Transfer
- November 10, 2011, News Item - Important Information on the Revalidation of Medicare Provider Enrollment
- November 1, 2011, News Item - Update for Providers on Completing the Medicare Enrollment Application (CMS-855A)
- November 1, 2011, News Item - Payment of the Medicare Enrollment Application Fee for Institutional Providers
- Provider Enrollment Revalidation Frequently Asked Questions
Internet-PECOS Resources
- External User Services (EUS) Web page
- Internet-based PECOS Web page
- Getting Started With Internet-based Provider Enrollment, Chain and Ownership System (PECOS) Information Sheet
- PECOS Fact Sheet
- Webinar: PECOS Enrollment Example Change of Information
Updated: 04.16.12
