CMS: Most Providers Must Re-Enroll

CMS: Most Providers Must Re-Enroll

CMS has issued a reminder that all providers and suppliers enrolled with Medicare before March 25, 2011 must revalidate enrollment information, but only after receiving notification from their MAC.

Please note that this special re-enrollment is NOT required of providers or suppliers that were enrolled on or after March 25, 2011.

Because this special re-enrollment does not apply to everyone, CMS MACs are contacting affected Medicare providers and suppliers as it comes time for their re-enrollment.  Do not submit re-enrollment until you have heard from your MAC!

When you receive notification from your MAC to revalidate:

• Update your enrollment through Internet-based Provider Enrollment, Chain and Ownership System (PECOS) or complete the 855

• Sign the certification statement on the application

• If applicable, pay your fee thru pay.gov and

• Mail your supporting documents and certification statement to your MAC

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 ONLY 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.  

For a smoother process, CMS will stagger the re-enrollments under 42 CFR 424.515(d) which provides CMS the authority to conduct these off-cycle re validations.

Between now and March 23, 2013, MACs 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 to do so.