Corporate

Revalidation

Who must Revalidate

All providers and suppliers enrolled with Medicare must revalidate their enrollment information on a periodic basis. Generally, physicians and NPPs revalidate enrollment every 5 years or when CMS requests it.

What is being Revalidated

The accuracy of provider/supplier enrollment information. This includes active PTANS (Medicare numbers on file with your MAC carrier)

When is Revalidation due

Generally every 5 years.

Part A, HHH & B providers and suppliers will be issued a due date on https://data.cms.gov/revalidationExternal Website.

Provider/suppliers not due for revalidation will display a "TBD" (To Be Determined) in the due date field. This means that you do not yet have a due date for revalidation. Please do not submit a revalidation application if there is NOT a listed due date.

Where is Revalidation sent to

The fastest and most efficient way to submit your revalidation information is via PECOSExternal Website.

However, Paper CMS-855 applications, which can be completed and submitted to your Medicare Administrative Contractor (MAC) for revalidation purposes are located at https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/EnrollmentApplications.htmlExternal Website

Why Revalidation delays and deactivations occur

Non-compliance to revalidation request letter. Corrections requested and not sent timely.

CMS Revalidation Due Date Tool

CMS Revalidation Due Date ToolExternal Website

Checklist

ChecklistPDF

Revalidation FAQs

Revalidation FAQs

Revalidation Cycle 2

Revalidation Cycle 2External PDF


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